MEDICARE: DR. TERRY R. ALLEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	MD08326	TN

General Provider Information

NPI Number	:	1245238971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRY R. ALLEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 331232
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1514
Country	:	US
Telephone Number	:	615-369-6500
Fax Number	:	615-329-1604

Provider Business Practice Location Address
First Line	:	2000 HAYES ST
Second Line	:	1505
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1514
Country	:	US
Telephone Number	:	615-369-6500
Fax Number	:	615-329-1604

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	11/12/2009

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