# AUDREY S ALLEYNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164522694
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 039479 | GA | Yes |

## Other

- **Enumeration date:** 09/24/2006
- **Last updated:** 03/26/2015

## 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 |