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MARLIN CALVIN ALLEN
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1245847367
Individual Registrant: MARLIN CALVIN ALLEN
Gender: M
Not Sole Proprietor
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: --
Tel: 706-459-3572 Fax: --
Contact information for business:
149 JOYCE DR RINGGOLD, GA 30736-2707 US
Tel: 478-697-1725 Fax: --
Tel: 478-697-1725 Fax: --
Registration Information:
NPI: 1245847367
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN237743 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
