Individual
STEPHEN C ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
D44699
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00306112
RAILROAD MEDICARE
GA
Enumeration date
09/12/2005
Last updated
04/29/2008
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