Individual
DR. MARYELLON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6322 HIGHWAY 182 E, MORGAN CITY, LA 70380-2038
(985) 702-1220
(985) 702-9715
Mailing address
6322 HIGHWAY 182 E, MORGAN CITY, LA 70380-2038
(985) 702-1220
(985) 702-9715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15521R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464368
—
LA
Enumeration date
07/26/2005
Last updated
04/14/2021
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