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Individual
MR. MICHAEL M. ALLEN JR.
Active
Individual
MR. MICHAEL M. ALLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
BR018475
GA
332BC3200X
Customized Equipment (DME)
Primary
BR018475
GA
335E00000X
Prosthetic/Orthotic Supplier
BR018475
GA
Other
Enumeration date
04/22/2026
Last updated
04/29/2026
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