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Organization

GEORGIA ENT & FACIAL PLASTICS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARTHUR HARRY ALLEN D.O. (PRESIDENT)
(229) 244-9944
Entity
Organization

Contact information

Practice address
2418 N OAK ST, SUITE G, VALDOSTA, GA 31602-2575
(229) 244-9944
(229) 244-9942
Mailing address
2418 N OAK ST, SUITE G, VALDOSTA, GA 31602-2575
(229) 244-9944
(229) 244-9942

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
482753103D
GA
Enumeration date
10/03/2006
Last updated
10/03/2011
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