Alan Dejarnatt MD

NPI 1598750184 - Allergy & Immunology - 207K00000X

NPI Details
NPI 1598750184
Gender Male
Enumeration Date 09/20/2005
Last Updated 06/09/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
464 N PARKWAY
SUITE D
JACKSON TN, 38305-2810, US
Phone (731) 660-0138
Fax
Business Location
7205 WOLF RIVER BLVD
SUITE 200
GERMANTOWN TN, 38138-1758, US
Phone (901) 757-6100
Fax (901) 757-6109
Toxanomy
Taxonomy Code 207K00000X
License State Tennessee
License Number 19924
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According to our database, Alan Dejarnatt MD NPI is 1598750184, taxonomy code is 207K00000X and license number is 19924, license state is located at Tennessee. Alan Dejarnatt MD physically located at 464 N Parkway, Jackson TN, 38305-2810. NPI Number Alan Dejarnatt MD has the Individual type.

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1598750184 NPI number is provided on an as is basis without warranty of any kind. 1598750184 is maintained by the National Plan & Provider Enumeration System. The contents of Alan Dejarnatt MD are for informational purposes only.