Individual
DR. JOHN MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 MEDICAL DR STE 707, LAGRANGE, GA 30240-4130
(706) 880-7320
(706) 812-2640
Mailing address
300 MEDICAL DR STE 707, LAGRANGE, GA 30240-4130
(706) 880-7320
(706) 812-2640
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
074472
GA
208600000X
Surgery Physician
40578
SC
Other
Enumeration date
12/08/2008
Last updated
09/17/2020
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