Individual
SAMUEL L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
305 W GLENVIEW DR, SALISBURY, NC 28147-7227
(704) 638-9000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
199596
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
5004539
NC
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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