Individual
NATASHA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4177 PELHAM CIR, LITHONIA, GA 30038-6140
(404) 808-6208
Mailing address
4177 PELHAM CIR, LITHONIA, GA 30038-6140
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN155448
GA
Other
Enumeration date
09/14/2020
Last updated
09/16/2021
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