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Organization

ELAINE ALLEN DPM

Active
Other names
Foot & Ankle Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
ELAINE ALLEN DPM (PODIATRIST/OWNER)
(770) 926-6686
Entity
Organization

Contact information

Practice address
203 WOODPARK PL, SUITE B-200, WOODSTOCK, GA 30188-3705
(770) 926-6686
(770) 926-6635
Mailing address
203 WOODPARK PL, SUITE B-200, WOODSTOCK, GA 30188-3705
(770) 926-6686
(770) 926-6635

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD000744
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000163909413
UHC
05
00698167D
GA
01
175445029
TRICARE
01
323715
WELLCARE
01
3641408
AETNA HMO
01
393136
BCBS
GA
01
4572029
AETNA
01
P00240565
RAILROAD MEDICARE
Enumeration date
08/29/2007
Last updated
10/01/2009
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