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IVEY E. ALLEN P.A.

Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1205119005

Individual Registrant:
 IVEY E. ALLEN P.A.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
100 MIMOSA DR  THOMASVILLE, GA 31792-6676 US
Tel: 229-226-8881  Fax: 229-227-5187

Contact information for business:
900 CAIRO RD  THOMASVILLE, GA 31792-4255 US
Tel: 229-227-5102  Fax: 229-227-5187

Registration Information:
NPI: 1205119005
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
GA006083

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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