Individual
KATHY STUKES ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
740 FERST DRIVE, ATLANTA, GA 30332-0470
(404) 894-1429
(404) 385-0717
Mailing address
740 FERST DRIVE, ATLANTA, GA 30332-0470
(404) 894-1424
(404) 385-0717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34959
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00479135A
—
GA
01
—
34959
GA LICENCE NUMBER
GA
Enumeration date
08/13/2007
Last updated
03/07/2023
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