Individual provider · Type 1 NPI
Theodore Lee Allen, MD
General Practice Physician · Fort Bragg, NC
NPI number
1316906399
Active
Practice location
Dept Of Deployment Health Womc, Physical Exam
Fort Bragg, NC 28310
Fax (910) 907-8451
Mailing address
2817 Reilly Road, Mcxc-Cod Credentials Womack Army Medical Center
Fort Bragg, NC 28310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 12544 (AL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1316906399
Theodore Lee Allen, MD's National Provider Identifier is 1316906399, issued on Mar 20, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Bragg, NC. The record was last updated on Mar 28, 2017.