Individual
HARRIETT LASCHELL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(770) 638-1400
Mailing address
1468 MONTREAL RD, TUCKER, GA 30084-6901
(404) 723-7120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN185582
GA
Other
Enumeration date
05/28/2014
Last updated
05/29/2014
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