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DR. MELROSE DENISE ALLEN-NGALULA MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1841248721

Individual Registrant:
DR. MELROSE DENISE ALLEN-NGALULA MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
417 W 3RD AVE  ALBANY, GA 31701-1943 US
Tel: 706-354-5770  Fax: 706-354-5769

Contact information for business:
PO BOX 408  ALBANY, GA 31702-0408 US
Tel: 205-437-6098  Fax: 205-437-5998

Registration Information:
NPI: 1841248721
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
GA057346

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
306302721AGA05
BCBS PROVIDER NUMBER52704149GA01
RAILROAD MEDICAREP00304290GA01
WELLCARE354700GA01
306302721BGA05




HEALTH CARE JOBS GA - Page 1



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