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GEORGIA CAROL ALLEN DO

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1508844796

Individual Registrant:
 GEORGIA CAROL ALLEN DO
Gender: F
Not Sole Proprietor

Location and contact information for practice:
365 TUOLUMNE ST  VALLEJO, CA 94590-5700 US
Tel: 707-553-5509  Fax: 707-553-5658

Contact information for business:
1310 CLUB DR  VALLEJO, CA 94592-1187 US
Tel: 707-638-5232  Fax: 707-638-5255

Registration Information:
NPI: 1508844796
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
TXK7497
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CA20A6109

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS8DB606TX01
045035506TX05




HEALTH CARE JOBS CA - Page 1



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