Individual
MICHELLE HARPER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3896 PRINCETON LAKES WAY, ATLANTA, GA 30331
(404) 489-4444
Mailing address
3896 PRINCETON LAKES WAY, ATLANTA, GA 30331
(404) 489-4444
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
74255
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003162730
—
GA
Enumeration date
04/04/2012
Last updated
02/08/2019
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