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MISS BETH ANN ALLEN N.P.

Medical Specialty >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1407977705

Individual Registrant:
MISS BETH ANN ALLEN N.P.
Gender: F
Sole Proprietor

Location and contact information for practice:
201 THOMAS RD  FORT OGLETHORPE, GA 30742-3659 US
Tel: 706-861-6668  Fax: 706-861-6088

Contact information for business:
45 KINGTON LN  LOOKOUT MOUNTAIN, GA 30750-3152 US
Tel: 706-820-1515  Fax: 706-861-6088

Registration Information:
NPI: 1407977705
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QM2500XAmbulatory Health Care Facilities
Clinic/Center
Medical Specialty
GARN081047

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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