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Individual

DR. JEFFREY D. ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1984 PEACHTREE RD NW, SUITE 505, ATLANTA, GA 30309-5219
(404) 352-1409
(404) 352-8176

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
40297
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000669061C
GA
Enumeration date
12/09/2005
Last updated
10/17/2012
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