Individual
RICHARD L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 10TH AVE, SUITE 180, COLUMBUS, GA 31901-3700
(706) 571-1519
(706) 320-8675
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 660-6410
(706) 660-2847
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
037462
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000571139A
—
GA
Enumeration date
10/04/2006
Last updated
04/27/2016
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