Provider Demographics
NPI:1245238971
Name:ALLEN, TERRY R (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:R
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 331232
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1514
Mailing Address - Country:US
Mailing Address - Phone:615-369-6500
Mailing Address - Fax:615-329-1604
Practice Address - Street 1:2000 HAYES ST
Practice Address - Street 2:1505
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1514
Practice Address - Country:US
Practice Address - Phone:615-369-6500
Practice Address - Fax:615-329-1604
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2009-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD083262086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB02498Medicare UPIN