Allen, Charles Edward
Allen, Charles Edward is an individual health care provider with primary practice located at 2324 Limestone Overlook , Gainesville GA 30501-7443. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Allen, Charles Edward can be contacted via phone (770) 536-8109.Contact Information
Primary practice address
2324 Limestone Overlook
Gainesville GA 30501-7443
Phone: (770) 536-8109
Fax: (770) 536-3203
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 020644 | Georgia |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 020644 | Georgia |
Profile Details
NPI number | 1992754394 |
---|---|
LBN Legal business name | Allen, Charles Edward |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Oct 12th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992754394 | NPPES |
Georgia | MEDICAID | 00227103C |
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