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Individual
GEORGIA CAROL ALLEN
Active
Individual
GEORGIA CAROL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20A6109
CA
207R00000X
Internal Medicine Physician
K7497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045035506
—
TX
01
—
8DB606
BCBS
TX
Enumeration date
01/06/2006
Last updated
06/18/2015
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