SearchGeorgia208VP0014X

Idi Allen, M.D

NPI 1700029402 · on the registry since 2009 · sole proprietor

Practice

Address
101 Yorktown Dr Ste 211
Fayetteville, GA 30214
Phone
(470) 481-2020
Organisation at this address
Nugen Pharmacy Llc
Hospice Advantage, Llc.
Waits Hearing Center, Llc
Cardiac Disease Specialists, Pc
Relief Anesthesia Solutions Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
33

Registry record

Primary taxonomy
208VP0014X
208VP0014X
Also registered as
207L00000X
207LP3000X
208VP0000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-21

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