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NPI Verification

National Provider Identifier: 1699122879

Thomas T Alleva, PA-C

Individual Provider

Credentials

PA-C

Primary Specialty

Physician Assistant, Medical

Code: 363AM0700X

All Specialties (8)

Emergency Medicine

Code: 207P00000X

Family Medicine

Code: 207Q00000X

Surgery

Code: 208600000X

Physician Assistant, Medical

Code: 363AM0700X

Primary

Internal Medicine

Code: 207R00000X

Pediatrics

Code: 208000000X

Physical Medicine & Rehabilitation

Code: 208100000X

Radiology, Diagnostic Radiology

Code: 2085R0202X

Practice Address

620 SKYLINE DR

JACKSON, TN 383013923

Phone: 731-541-5000

NPI Enumeration Date

May 18, 2016

NPI Number

1699122879

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry