Individual
MISS BETH ANN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
201 THOMAS RD, FORT OGLETHORPE, GA 30742-3659
(706) 861-6668
(706) 861-6088
Mailing address
45 KINGTON LN, LOOKOUT MOUNTAIN, GA 30750-3152
(706) 820-1515
(706) 861-6088
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
RN081047
GA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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