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NPI Code Detail

MEDICARE: ALLAN PICKENS MD

MEDICARE:   ALLAN  PICKENS  MD
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
1208600000XSurgery Physician4301080250MI
2208600000XSurgery Physician67059TN
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician4301080250MI
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician67059TN
5208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician61933GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437165610
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN PICKENS MD
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 95 COLLIER RD NW STE 2055
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1721
Country : US
Telephone Number : 404-605-5699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 12/06/2024

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Directions to “ ALLAN PICKENS MD” Practice Location

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