Individual
MR. WILLIAM CHASE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
8025 SANDORN DR, ROSWELL, GA 30075-6733
(321) 231-6594
Mailing address
8025 SANDORN DR, ROSWELL, GA 30075-6733
(321) 231-6594
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3716
GA
Other
Enumeration date
03/01/2011
Last updated
03/26/2014
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