| Jonathan D. Allred M.d.p.c. | |
|
234 West Central Avenue Jamestown TN 38556 | |
| (931) 879-8139 | |
| Not Available |
| Full Name | Jonathan D. Allred M.d.p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 234 West Central Avenue, Jamestown, Tennessee |
| Authorized Official Name and Position | Jonathan Allred (M.D.) |
| Authorized Official Contact | 9318798139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan D. Allred M.d.p.c. Po Box 1168 Jamestown TN 38556-1168 Ph: () - | Jonathan D. Allred M.d.p.c. 234 West Central Avenue Jamestown TN 38556 Ph: (931) 879-8139 |
| NPI Number | 1073536884 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6305987595 |
|---|---|
| Medicare Enrollment ID | O20100111000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073536884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD21536 (Tennessee) | Primary |
| Provider Name | Jonathan D Allred |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134185127 PECOS PAC ID: 9931293099 Enrollment ID: I20100324000109 |
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