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MARLIN CALVIN ALLEN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1245847367

Individual Registrant:
 MARLIN CALVIN ALLEN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1209 W WALNUT AVE STE 1  DALTON, GA 30720-3961 US
Tel: 706-459-3572  Fax: --

Contact information for business:
149 JOYCE DR  RINGGOLD, GA 30736-2707 US
Tel: 478-697-1725  Fax: --

Registration Information:
NPI: 1245847367
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN237743

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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