Individual
PATRICIA A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1107 MEMORIAL DRIVE, SUITE 201, DALTON, GA 30720-8662
(706) 277-7311
(706) 272-3512
Mailing address
1107 MEMORIAL DRIVE, SUITE 201, DALTON, GA 30720-8662
(706) 277-7311
(706) 272-3512
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2045
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184410A
—
OK
01
—
751465559003
BCBS
OK
Enumeration date
06/16/2006
Last updated
08/04/2011
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