Individual
STEVEN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-2849
(706) 721-8623
(706) 721-1459
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019-01934
NC
207RP1001X
Pulmonary Disease Physician
Primary
96083
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831553346
—
NC
01
—
NN8512A
MEDICARE
NC
Enumeration date
04/11/2016
Last updated
01/22/2024
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