Individual
CARGILL ALLEYNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 STEVENS CREEK RD, AUGUSTA, GA 30907-9251
(706) 722-6957
(706) 722-1999
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7226
(706) 774-1999
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003330976A
—
GA
05
—
G36084
—
SC
Enumeration date
08/30/2006
Last updated
11/14/2018
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