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JASON MICHAEL ALLEN

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

Registrant NPI Number: 1417387085

Individual Registrant:
 JASON MICHAEL ALLEN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
417 W 3RD AVE  ALBANY, GA 31701-1943 US
Tel: 229-312-1000  Fax: --

Contact information for business:
417 W 3RD AVE  ALBANY, GA 31701-1943 US
Tel: 229-312-1000  Fax: --

Registration Information:
NPI: 1417387085
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367H00000XPhysician Assistants & Advanced Practice Nursing Providers
Anesthesiologist Assistant
GA007024

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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