Individual
RAYMOND K ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 NELSON BLVD, SUITE 200, KINGSTREE, SC 29556-4027
(843) 355-5459
(843) 355-9704
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7162
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11529
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115299
—
SC
Enumeration date
08/23/2005
Last updated
02/01/2021
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