Individual
CHRISTIAN FREDERICK ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
PO BOX 1950, DOUGLASVILLE, GA 30133-1950
(706) 660-8505
(706) 660-9390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002844
GA
367H00000X
Anesthesiologist Assistant
Primary
2844
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491431789A
—
GA
05
—
640402698A
—
GA
Enumeration date
11/19/2005
Last updated
06/17/2020
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