Individual
DAVID ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30046-4325
(678) 209-2411
Mailing address
4160 BONNETT CREEK LN, HOSCHTON, GA 30548-6202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN096891
GA
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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