# ALLEN SURGICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346755998
- **Authorized official:** LISA R ALLEN FNP-BC (CEO- OWNER)
- **Authorized official phone:** (404) 731-9408

## Contact information

- **Practice address:** 3689 MOUNTAIN RD NE, MARIETTA, GA 30066-2411
- **Practice address phone:** (404) 731-9408
- **Practice address fax:** (770) 321-0520
- **Mailing address:** 3689 MOUNTAIN RD NE, MARIETTA, GA 30066-2411
- **Mailing address phone:** (404) 731-9408
- **Mailing address fax:** (770) 321-0520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN085201 | GA | Yes |

## Other

- **Enumeration date:** 12/05/2017
- **Last updated:** 12/05/2017