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Individual

DR. CHARLES DANIEL ALLEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5780 PEACHTREE DUNWOODY RD, SUITE 320, ATLANTA, GA 30342-1513
(404) 256-2943
(404) 256-6027
Mailing address
5780 PEACHTREE DUNWOODY ROAD, SUITE 300, ATLANTA, GA 30342-1513
(404) 303-1224
(404) 303-1325

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016853
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000564814B
GA
05
000564814C
GA
05
000564814I
GA
Enumeration date
09/26/2005
Last updated
05/17/2016
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