Individual
DR. JERAD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308
(404) 686-4411
Mailing address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2245
(404) 686-4411
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
83315
GA
207XX0801X
Orthopaedic Trauma Physician
MD60831245
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952745952
—
WA
Enumeration date
04/20/2013
Last updated
07/26/2019
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