Individual
JENNIFER F ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 208-2345
(864) 208-2366
Mailing address
250 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 208-2345
(864) 208-2366
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD36755
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA1854
—
SC
01
—
SC38043365
MEDICARE PIN
SC
Enumeration date
04/05/2010
Last updated
11/16/2020
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