Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 46749 | TN |
NPI | 1013189067 |
---|---|
Provider Name | Dr. Alicia Renee Allen |
First Address | Chattanooga, TN 37421-3291 |
Second Address | Chattanooga, TN 37421-3291 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2008 |
Last Update Date | 30/11/2017 |