Individual
MRS. IANTHA LUCILLE ALLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41015
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509268
MEDICAID - TN
TN
05
—
1509268
—
TN
05
—
3338876
—
TN
05
—
3338877
—
TN
01
—
4133805
BCBS
TN
01
—
4133808
BCBS
TN
01
—
4200560
BCBS TN
TN
01
—
4291492
BCBS - MTI
TN
05
—
7100039390
—
KY
Enumeration date
06/03/2006
Last updated
06/17/2025
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