Individual
WILBUR LYNN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
TAYLOR AT MARION, COLUMBIA, SC 29220-5318
(803) 434-6771
(803) 434-3955
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
070032
GA
208M00000X
Hospitalist Physician
Primary
61787
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
612876
—
SC
Enumeration date
08/17/2011
Last updated
05/18/2022
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