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Individual

DR. JOHN LEATHERBURY ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3853 BYRNWYCK PL NE, BROOKHAVEN, GA 30319-1658
(251) 533-8739
Mailing address
3853 BYRNWYCK PL NE, BROOKHAVEN, GA 30319-1658
(251) 533-8739

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74229
GA
207R00000X
Internal Medicine Physician
RESIDENT4405
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/19/2010
Last updated
10/06/2015
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