Allen, Deborah C

Allen, Deborah C is an individual health care provider with primary practice located at 1310 Brampton Avenue , Statesboro GA 30458-2459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Deborah C can be contacted via phone (912) 871-8500.

Contact Information

Primary practice address
1310 Brampton Avenue Statesboro GA 30458-2459
Fax: (912) 687-1850
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN190740 NP Georgia

Profile Details

NPI number 1194959874
LBN Legal business name Allen, Deborah C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2009
Last updated Jun 1st, 2010 - about 14 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 1194959874 NPPES
Georgia MEDICAID 742859507A

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