Individual
DR. DAVID EDWIN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
818 SAINT SEBASTIAN WAY, SUITE 300, AUGUSTA, GA 30901-2651
(706) 722-0186
(706) 722-0290
Mailing address
818 SAINT SEBASTIAN WAY, STE 300, AUGUSTA, GA 30901-2653
(706) 364-4102
(706) 722-0290
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
057919
GA
207RN0300X
Nephrology Physician
16000
MS
207RN0300X
Nephrology Physician
28888
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352045041A
—
GA
Enumeration date
01/20/2006
Last updated
05/17/2017
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