Individual
DONALD S ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
(704) 446-1255
(704) 446-1276
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 446-1255
(704) 446-1276
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
100155
NC
363A00000X
Physician Assistant
Primary
100155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0583PA
—
SC
05
—
1982629598
—
NC
Enumeration date
07/13/2006
Last updated
12/06/2016
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