Individual
MRS. MARY WATSON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3900
Mailing address
9860 AUTRY FALLS DR, ALPHARETTA, GA 30022-8007
(404) 358-2477
(404) 358-2477
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN058026
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00817044A
—
GA
Enumeration date
03/28/2007
Last updated
04/16/2015
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