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DR. MELROSE DENISE ALLEN-NGALULA MD
>> Emergency Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1841248721
Individual Registrant:DR. MELROSE DENISE ALLEN-NGALULA MD
Gender: F
Not Sole Proprietor
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
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
Tel: 205-437-6098 Fax: 205-437-5998
Registration Information:
NPI: 1841248721
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | GA | 057346 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 306302721A | GA | 05 | |
| BCBS PROVIDER NUMBER | 52704149 | GA | 01 |
| RAILROAD MEDICARE | P00304290 | GA | 01 |
| WELLCARE | 354700 | GA | 01 |
| 306302721B | GA | 05 |
