Organization
THOMAS M. ALLEN M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY HARRELL MHSA (DIRECTOR)
(912) 538-5508
Entity
Organization
Contact information
Practice address
500 MAPLE DR, VIDALIA, GA 30474-8998
(912) 537-1815
(912) 537-9557
Mailing address
500 MAPLE DR, VIDALIA, GA 30474-8998
(912) 537-1815
(912) 537-9557
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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