Individual
MR. PAUL E. L ALLEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2795 MAIN ST W # 27, SNELLVILLE, GA 30078-3164
(770) 985-8001
Mailing address
2795 MAIN ST W # 27, SNELLVILLE, GA 30078-3164
(770) 985-8001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
028490
GA
207Q00000X
Family Medicine Physician
028490
GA
207R00000X
Internal Medicine Physician
Primary
028490
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000349654T
—
GA
Enumeration date
06/14/2006
Last updated
07/22/2019
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