Individual
DR. JUSTIN RICHARD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 353-6185
Mailing address
1246 19TH ST, HERMOSA BEACH, CA 90254-3308
(917) 324-9942
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036155966
IL
207P00000X
Emergency Medicine Physician
47781
AL
207P00000X
Emergency Medicine Physician
60266029
NY
207P00000X
Emergency Medicine Physician
63785
AZ
207P00000X
Emergency Medicine Physician
Primary
70029
GA
207P00000X
Emergency Medicine Physician
70770
CT
207P00000X
Emergency Medicine Physician
C159741
CA
207P00000X
Emergency Medicine Physician
CDR.0003441
CO
207P00000X
Emergency Medicine Physician
CI-0026630
DE
207P00000X
Emergency Medicine Physician
E-17178
AR
207P00000X
Emergency Medicine Physician
MD-23927
HI
207P00000X
Emergency Medicine Physician
MD-2526
ID
207P00000X
Emergency Medicine Physician
MD500002611
DC
207P00000X
Emergency Medicine Physician
TPME761
FL
207Q00000X
Family Medicine Physician
213862
AK
Other
Enumeration date
04/27/2009
Last updated
05/07/2024
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