Individual provider · Type 1 NPI

Carroll Thorton Allen Iv

Student in an Organized Health Care Education/Training Program · Washington, DC

NPI number 1255190203 Active

Practice location

102 Irving St NW
Washington, DC 20010-2921

Call (410) 823-4263 Map

Mailing address

5450 Ring Dove Ln
Columbia, MD 21044-1716

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1255190203

Carroll Thorton Allen Iv's National Provider Identifier is 1255190203, issued on Mar 13, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Washington, DC. The record was last updated on Mar 13, 2024.