Organization
ALLEN SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R ALLEN FNP-BC (CEO- OWNER)
(404) 731-9408
Entity
Organization
Contact information
Practice address
3689 MOUNTAIN RD NE, MARIETTA, GA 30066-2411
(404) 731-9408
(770) 321-0520
Mailing address
3689 MOUNTAIN RD NE, MARIETTA, GA 30066-2411
(404) 731-9408
(770) 321-0520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN085201
GA
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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