Organization
ALLEN UROLOGY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C ALLEN M.D. (OWNER)
(229) 432-8463
Entity
Organization
Contact information
Practice address
425 W 3RD AVE, SUITE 550, ALBANY, GA 31701-1941
(229) 432-8463
(229) 432-8465
Mailing address
425 W 3RD AVE, SUITE 550, ALBANY, GA 31701-1941
(229) 432-8463
(229) 432-8465
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
GA21138
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00306112
RAILROAD
GA
Enumeration date
05/09/2006
Last updated
11/01/2007
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