Allen, Octavia

Allen, Octavia is an individual health care provider with primary practice located at 1155 Concord Rd Se Ste 200 , Smyrna GA 30080-4255. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Allen, Octavia can be contacted via phone (843) 465-6548.

Contact Information

Primary practice address

1155 Concord Rd Se Ste 200 Smyrna GA 30080-4255

Phone: (843) 465-6548

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health	363LA2200X	RN265717	Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family	363LF0000X	RN265714	Georgia

Profile Details

NPI number	1801521562
LBN Legal business name	Allen, Octavia
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Jul 18th, 2022
Last updated	Dec 11th, 2023 - about last year

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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