Theodore Lee Allen, MD
General Practice in Fort Bragg, NC. Individual provider (NPI-1).
NPI number1316906399
StatusActive
Last updated in NPPESMar 28, 2017
Details
- NPI
- 1316906399
- Entity type
- Individual (NPI-1)
- Name
- Theodore Lee Allen
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2006
- Last updated
- Mar 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 12544 | AL | Yes |
Practice location
Dept Of Deployment Health WomcPhysical Exam
Fort Bragg, NC 28310
Phone 910-907-6390 · Fax 910-907-8451
Mailing address
2817 Reilly RoadMcxc-Cod Credentials Womack Army Medical Center
Fort Bragg, NC 28310
Phone 910-907-8922 · Fax 910-907-6069
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