SearchGeorgia363LF0000X

Octavia Allen

NPI 1801521562 · on the registry since 2022

Practice

Address
1155 Concord Rd Se Ste 200
Smyrna, GA 30080
Phone
(843) 465-6548
Organisation at this address
Agilitas Usa, Inc
Florida Autism Center
Wellstreet Of Georgia Pc
Wellstreet Of Georgia Pc
Innovative Infusions, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
66

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LA2200X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-11

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