Individual
JOHN WILLIAM ALLEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5480 GOODMAN RD STE 1, OLIVE BRANCH, MS 38654-7902
(662) 874-6507
(662) 932-8197
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17289
MS
207R00000X
Internal Medicine Physician
50030
TN
208M00000X
Hospitalist Physician
17289
MS
208M00000X
Hospitalist Physician
50030
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124398
—
MS
05
—
199932001
—
AR
05
—
Q007099
—
TN
Enumeration date
02/06/2006
Last updated
02/02/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us