Allen, Idi

Allen, Idi is an sole proprietor health care provider with primary practice located at 101 Yorktown Dr Ste 211 , Fayetteville GA 30214-1578. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Allen, Idi can be contacted via phone (470) 481-2020.

Contact Information

Primary practice address
101 Yorktown Dr Ste 211 Fayetteville GA 30214-1578
Phone: (470) 481-2020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 70849 Georgia
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 70849 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 70849 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 70849 Georgia

Profile Details

NPI number 1700029402
LBN Legal business name Allen, Idi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2009
Last updated Mar 21st, 2019 - about 5 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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