Allen, Charles Daniel

Allen, Charles Daniel is an individual health care provider with primary practice located at 5780 Peachtree Dunwoody Rd Suite 320, Atlanta GA 30342-1513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Allen, Charles Daniel can be contacted via phone (404) 256-2943.

Contact Information

Primary practice address
5780 Peachtree Dunwoody Rd Suite 320 Atlanta GA 30342-1513
Phone: (404) 256-2943
Fax: (404) 256-6027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 016853 Georgia

Profile Details

NPI number 1225024250
LBN Legal business name Allen, Charles Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated May 17th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225024250 NPPES
Georgia MEDICAID 000564814I
Georgia MEDICAID 000564814C
Georgia MEDICAID 000564814B

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