Individual provider · Type 1 NPI
Michael M. Allen Jr.
Customized Equipment (DME) · Porterdale, GA
NPI number
1689519829
Active
Practice location
2104 Main St Ste 13
Porterdale, GA 30014-3438
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | BR018475 (GA) |
| Specialist | 174400000X | BR018475 (GA) |
| Customized Equipment (DME) Primary | 332BC3200X | BR018475 (GA) |
Customized Equipment (DME): Definition to come...
Another provider at this address
About NPI 1689519829
Michael M. Allen Jr.'s National Provider Identifier is 1689519829, issued on Apr 22, 2026. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Porterdale, GA. The record was last updated on Apr 29, 2026.