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Individual

MARY JUDITH ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
303 FRASER DR, HINESVILLE, GA 31313-3712
(912) 877-2227
(912) 877-2332
Mailing address
13592 WAYNESFIELD RD, WAPAKONETA, OH 45895-8621
(419) 305-5728

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
51615
GA

Other

Enumeration date
07/18/2006
Last updated
10/01/2019
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