Individual
REUBEN MICHAEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PC
Contact information
Practice address
4015 SOUTH COBB DRIVE, SE, SUITE # 100 - B, SMYMA, GA 33080
(770) 438-4277
(770) 438-4297
Mailing address
4015 S COBB DR SE, SUITE # 110 - B, SMYRNA, GA 30080-6303
(770) 438-4277
(770) 438-4297
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
045692
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000823402A
—
GA
Enumeration date
01/16/2007
Last updated
09/07/2010
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