Individual
RONALD V ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2910 N PATTERSON ST, VALDOSTA, GA 31602-1720
(229) 244-2562
(229) 249-0000
Mailing address
2910 N PATTERSON ST, VALDOSTA, GA 31602-1720
(229) 244-2562
(229) 249-0000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
039274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00655146A
—
GA
Enumeration date
02/08/2006
Last updated
07/08/2007
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