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PATRICIA A ALLEN D.O.
Anatomic Pathology & Clinical Pathology >> Pathology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1417992488
Individual Registrant: PATRICIA A ALLEN D.O.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1107 MEMORIAL DRIVE SUITE 201 DALTON, GA 30720-8662 US
Tel: 706-277-7311 Fax: 706-272-3512
Tel: 706-277-7311 Fax: 706-272-3512
Contact information for business:
1107 MEMORIAL DRIVE SUITE 201 DALTON, GA 30720-8662 US
Tel: 706-277-7311 Fax: 706-272-3512
Tel: 706-277-7311 Fax: 706-272-3512
Registration Information:
NPI: 1417992488
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207ZP0102X | Allopathic & Osteopathic Physicians Pathology Anatomic Pathology & Clinical Pathology | OK | 2045 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS | 751465559003 | OK | 01 |
| 100184410A | OK | 05 |
