Allen, Radcliff Kirkwood
Allen, Radcliff Kirkwood is an individual health care provider with primary practice located at 1412 Milstead Ave Ne , Conyers GA 30012-3877. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Allen, Radcliff Kirkwood can be contacted via phone (770) 918-3000.Contact Information
Primary practice address
1412 Milstead Ave Ne
Conyers GA 30012-3877
Phone: (770) 918-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 055169 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 55169 | Georgia |
Profile Details
| NPI number | 1598714545 |
|---|---|
| LBN Legal business name | Allen, Radcliff Kirkwood |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | May 26th, 2021 - about 3 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 | 1598714545 | NPPES |
| Georgia | MEDICAID | 377949458A |
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