Individual
CHARLES EDWARD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2324 LIMESTONE OVERLOOK, GAINESVILLE, GA 30501-7443
(770) 536-8109
(770) 536-3203
Mailing address
PO BOX 907790, GAINESVILLE, GA 30501-0912
(770) 536-8109
(770) 536-3203
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
020644
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
020644
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00227103C
—
GA
Enumeration date
05/10/2006
Last updated
10/12/2015
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