Individual
COURTNEY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1645 TULLIE CIR NE, ATLANTA, GA 30329-2304
(772) 888-5856
Mailing address
1645 TULLIE CIR NE, ATLANTA, GA 30329-2304
(772) 888-5856
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
075593
GA
Other
Enumeration date
04/29/2013
Last updated
09/07/2016
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