Julian E Allen, MD | |
1255 E College St, Suite 500, Pulaski, TN 38478-4515 | |
(931) 363-8055 | |
(931) 363-8056 |
Full Name | Julian E Allen |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1255 E College St, Pulaski, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285606277 | NPI | - | NPPES |
02877599 | Medicaid | MS | |
51521437 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 52319 (Tennessee) | Primary |
208600000X | Surgery | 00025886 (Alabama) | Secondary |
Entity Name | Amg-hillside Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710105499 PECOS PAC ID: 9436240017 Enrollment ID: O20070810000665 |
Mailing Address | Practice Location Address |
---|---|
Julian E Allen, MD 1255 E College St, Suite 500, Pulaski, TN 38478-4515 Ph: (931) 363-8055 | Julian E Allen, MD 1255 E College St, Suite 500, Pulaski, TN 38478-4515 Ph: (931) 363-8055 |
Dr. Todd Jefferson Lucas, MD Surgery Medicare: Medicare Enrolled Practice Location: 1265 E College St, Suite 9, Pulaski, TN 38478 Phone: 931-424-9069 Fax: 931-424-9079 | |
James C Lathrop, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1255 E College St Ste 500, Pulaski, TN 38478 Phone: 931-363-8055 Fax: 931-363-8056 | |
Dr. Armando Cabot Foronda, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1617 Jackson Dr, Pulaski, TN 38478 Phone: 931-363-7639 | |
Dr. Kenna J Williams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1119 E College St, Pulaski, TN 38478 Phone: 931-363-7100 Fax: 931-363-6111 |