Individual
DR. MITCHELL HURST ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
853 N CHURCH ST, SUITE 620, SPARTANBURG, SC 29303-3098
(864) 573-7511
(864) 560-1690
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
7751
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077516
—
SC
01
—
20219
MEDCOST
SC
01
—
4226826
AETNA
SC
05
—
7905049
—
NC
Enumeration date
01/30/2006
Last updated
12/13/2007
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