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Allex Provens, MA

NPI 1902632581 · on the registry since 2024 · sole proprietor

Practice

Address
1486 Terrell Mill Rd Se Apt 622
Marietta, GA 30067
Phone
(225) 400-3249
Organisation at this address
Lab Pro Diagnostics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2024-09-11

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