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Organization
ELAINE ALLEN DPM
Active
Organization
ELAINE ALLEN DPM
Active
Other names
Foot & Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE ALLEN DPM (PODIATRIST/OWNER)
(770) 926-6686
Entity
Organization
Contact information
Practice address
203 WOODPARK PL, SUITE B-200, WOODSTOCK, GA 30188-3705
(770) 926-6686
(770) 926-6635
Mailing address
203 WOODPARK PL, SUITE B-200, WOODSTOCK, GA 30188-3705
(770) 926-6686
(770) 926-6635
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000744
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000163909413
UHC
—
05
—
00698167D
—
GA
01
—
175445029
TRICARE
—
01
—
323715
WELLCARE
—
01
—
3641408
AETNA HMO
—
01
—
393136
BCBS
GA
01
—
4572029
AETNA
—
01
—
P00240565
RAILROAD MEDICARE
—
Enumeration date
08/29/2007
Last updated
10/01/2009
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