| Doctor Name: | DR. JACK RANDOLPH ALLISON |
| NPI Number: | 1144269770 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 9586 |
| Business Practice Address: | 631 Rb Wilson Dr Huntingdon, TN - 383441727 |
| Business Phone Number: | 7319864461 |
| Business Fax Number: | 9017532896 |
| Mailing Address: | 791 Walnut Knoll Ln, 2nd Fl CORDOVA |
| State: | TN |
| Postal Code: | 380188839 |
| Phone Number: | 9017557001 |
| Fax Number: | 9017532896 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 9586 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |