Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 37023 | TN |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 37023 | TN |
NPI | 1124035571 |
---|---|
Provider Name | Dr. Michael Christian Allan |
First Address | Chattanooga, TN 37404-3230 |
Second Address | Chattanooga, TN 37404-3230 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 01/09/2020 |