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Individual
DR. JOHN ALEX ALLEN
Active
Individual
DR. JOHN ALEX ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
27598
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
052330
GA
2084P0804X
Child & Adolescent Psychiatry Physician
27598
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003142497D
—
GA
05
—
052330
—
GA
05
—
275981
—
SC
01
—
AA77689636
MEDICARE
SC
Enumeration date
06/08/2005
Last updated
07/08/2024
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