Individual
GARY BLAINE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4354
(252) 328-6131
Mailing address
2201 CHILDRENS WAY, NASHVILLE, TN 37212-3164
(615) 322-0738
(615) 322-4586
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
07/26/2023
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