Individual
RADCLIFF KIRKWOOD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
055169
GA
208M00000X
Hospitalist Physician
Primary
55169
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377949458A
—
GA
Enumeration date
05/08/2006
Last updated
05/26/2021
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