Individual provider · NPI-1

Allyson Anyanwu, M.D.

Family Medicine · Jackson, TN

NPI number1285686618
StatusActive
Last updated in NPPESApr 28, 2023

Details

NPI
1285686618
Entity type
Individual (NPI-1)
Name
Allyson Anyanwu
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 16, 2006
Certification date
Apr 28, 2023
Last updated
Apr 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine40626TNYes
207P00000X Emergency Medicine7778AR
207P00000X Emergency Medicine40626TN

Practice location

504 N Highland Ave
Jackson, TN 38301-4825

Phone 731-574-9111 · Fax 731-574-9999

Mailing address

504 N Highland Ave
Jackson, TN 38301-4825

Phone 731-574-9111 · Fax 731-574-9999

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