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STEPHEN C ALLEN M.D.

>> Urology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1437144904

Individual Registrant:
 STEPHEN C ALLEN M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
425 W 3RD AVE SUITE 550 ALBANY, GA 31701-1941 US
Tel: 229-432-8463  Fax: 229-432-8465

Contact information for business:
425 W 3RD AVE SUITE 550 ALBANY, GA 31701-1941 US
Tel: 229-432-8463  Fax: 229-432-8465

Registration Information:
NPI: 1437144904
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208800000XAllopathic & Osteopathic Physicians
Urology
GAD44699

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RAILROAD MEDICAREP00306112GA01




HEALTH CARE JOBS GA - Page 1



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