Individual provider · Type 1 NPI

Tracy L. Allen, P.A.

Medical Physician Assistant · Blue Ridge, GA

NPI number 1124036520 Active

Practice location

101 Riverstone Vis, Suite 111
Blue Ridge, GA 30513-6648

Fax (706) 946-4243

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA-440 (ME)
Medical Physician Assistant Primary 363AM0700X005894 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1124036520

Tracy L. Allen, P.A.'s National Provider Identifier is 1124036520, issued on Aug 3, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Blue Ridge, GA. The record was last updated on Jun 21, 2014.