Individual
THEODORE LEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
DEPT OF DEPLOYMENT HEALTH WOMC, PHYSICAL EXAM, FORT BRAGG, NC 28310
(910) 907-6390
(910) 907-8451
Mailing address
2817 REILLY ROAD, MCXC-COD CREDENTIALS WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12544
AL
Other
Enumeration date
03/20/2006
Last updated
03/28/2017
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