Physician Compare National (NPI:1194796276)

HEALTHCARE PROVIDER: RANDALL LEE ALLEN DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1194796276
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6901066877
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120330000063
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ALLEN
	Individual professional last name
Provider First Name	RANDALL
	Individual professional first name
Provider Middle Name	LEE
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOGAN COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1270 S ELLINGTON PKWY
	Group Practice or individual's line 1 address
City	LEWISBURG
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	370914319
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9313595687
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y