| Organization Name: | THOMAS G. ALLEN M.D. P.C |
| NPI Number: | 1154426443 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS G ALLEN (PRESIDENT/M.D.) |
| Mailing Address: | 950 Main St Ste A Wartburg |
| State: | TN US |
| Postal Code: | 378874310 |
| Phone Number: | 4233462620 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 01/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | MD0000015065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |