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Individual
AUDREY S ALLEYNE
Active
Individual
AUDREY S ALLEYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
039479
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001319
BCBS
GA
01
—
339277
WELLCARE CMO
GA
01
—
550789920
TRICARE
GA
05
—
915210274A
—
GA
01
—
915210274B
GEORGIA MEDICAID AT CHILDRENS MEDICAL CENTER
GA
05
—
915210274B
—
GA
05
—
G39479
—
SC
01
—
POO135579
RAILROAD MEDICARE
GA
Enumeration date
09/24/2006
Last updated
03/26/2015
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