| Doctor Name: | THOMAS G ALLEN |
| NPI Number: | 1417142092 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD0000015065 |
| Business Practice Address: | 950 Main St Ste A Wartburg, TN - 378874310 |
| Business Phone Number: | 4233462620 |
| Business Fax Number: | 4233462624 |
| Mailing Address: | 950 Main St Ste A, WARTBURG |
| State: | TN |
| Postal Code: | 378874310 |
| Phone Number: | 4233462620 |
| Fax Number: | 4233462624 |
| NPI Enumeration Date: | 09/07/2007 |
| NPI Last Update Date: | 09/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | MD0000015065 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |