Individual
IVEY E. ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
100 MIMOSA DR, THOMASVILLE, GA 31792-6676
(229) 226-8881
(229) 227-5187
Mailing address
900 CAIRO RD, THOMASVILLE, GA 31792-4255
(229) 227-5102
(229) 227-5187
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006083
GA
Other
Enumeration date
09/28/2011
Last updated
09/17/2020
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