Thomas M. Allen M.d., Llc

NPI 1285814293 - Specialist - 174400000X

NPI Details
NPI 1285814293
Enumeration Date 11/07/2007
Last Updated 11/07/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SHELLY SHELLY
Position DIRECTOR
Phone (912) 537-1815
Fax (912) 537-9557
Practice Location
500 MAPLE DR
VIDALIA GA, 30474-8998, US
Phone (912) 537-1815
Fax (912) 537-9557
Business Location
500 MAPLE DR
VIDALIA GA, 30474-8998, US
Phone (912) 537-1815
Fax (912) 537-9557
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Thomas M. Allen M.d., Llc NPI is 1285814293, taxonomy code is 174400000X Thomas M. Allen M.d., Llc physically located at 500 Maple Dr, Vidalia GA, 30474-8998. NPI Number 1033115704 has the healthcare provider type.

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1285814293 NPI number is provided on an as is basis without warranty of any kind. 1285814293 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas M. Allen M.d., Llc are for informational purposes only.