Search › Georgia › 101YP2500X
Sir Allen Pegues
NPI 1447778410 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1333 Mount Zion Rd
Morrow, GA 30260 - Phone
- (770) 882-5895
- Organisation at this address
- Creating A Difference
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101Y00000X
101YM0800X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia