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Individual

ROBERT RAEGAN ALLEN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNIM

Contact information

Practice address
6250 SHILOH RD STE 110, ALPHARETTA, GA 30005-8400
(770) 781-0800
Mailing address
5185 YOUNG DEER DR, CUMMING, GA 30041-8964
(770) 889-9806

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
3
GA

Other

Enumeration date
01/21/2008
Last updated
01/21/2008
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