Individual
DR. IDI ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 YORKTOWN DR STE 211, FAYETTEVILLE, GA 30214-1578
(470) 481-2020
Mailing address
101 YORKTOWN DR STE 211, FAYETTEVILLE, GA 30214-1578
(470) 481-2020
(770) 703-4989
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
70849
GA
207LP3000X
Pediatric Anesthesiology Physician
70849
GA
208VP0000X
Pain Medicine Physician
70849
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
70849
GA
Other
Enumeration date
04/09/2009
Last updated
03/21/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us