Provider Demographics
NPI:1154394344
Name:WILCOX, ALLEN BRIAN JR (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:BRIAN
Last Name:WILCOX
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:501 GREAT CIRCLE RD
Mailing Address - Street 2:STE. 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228-1317
Mailing Address - Country:US
Mailing Address - Phone:615-329-7878
Mailing Address - Fax:615-329-7899
Practice Address - Street 1:2010 CHURCH ST
Practice Address - Street 2:STE. 700
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2012
Practice Address - Country:US
Practice Address - Phone:615-329-7878
Practice Address - Fax:615-329-7899
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2017-02-15
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Provider Licenses
StateLicense IDTaxonomies
TNMD018119208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1527252Medicaid
TN103I787558Medicare PIN
TN3059797Medicare ID - Type Unspecified
TN3059797Medicaid