Individual
DR. ALLAN JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1303 DANTIGNAC ST, SUITE 2500, AUGUSTA, GA 30901-2775
(706) 733-4427
(706) 737-0215
Mailing address
1303 DANTIGNAC ST, SUITE 2500, AUGUSTA, GA 30901-2775
(706) 733-4427
(706) 737-0215
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
047334
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00837768C
—
GA
01
—
10057969
AMERIGROUP
GA
01
—
160050495
RAILROAD MEDICARE
GA
01
—
338069
WELLCARE
GA
Enumeration date
03/16/2006
Last updated
04/09/2013
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