Individual
DR. JOHN DAVID ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 ALLEN COURT, NORTH AUGUSTA, SC 29860-1101
(803) 510-0007
(803) 510-0144
Mailing address
140 ALLEN COURT, NORTH AUGUSTA, SC 29860-1101
(803) 510-0007
(803) 510-0144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28313
SC
2080A0000X
Pediatric Adolescent Medicine Physician
025091
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000477969E
—
GA
05
—
G25091
—
SC
05
—
GPA917
—
SC
Enumeration date
12/06/2005
Last updated
09/14/2023
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