Individual provider · NPI-1

Dr. Marcus Dwayne Allen, MD

Family Medicine · Stockbridge, GA

NPI number1487141016
StatusActive
Last updated in NPPESJul 9, 2021

Details

NPI
1487141016
Entity type
Individual (NPI-1)
Name
Dr. Marcus Dwayne Allen
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 19, 2018
Certification date
Jun 15, 2021
Last updated
Jul 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine89551GAYes

Practice location

1240 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-5173

Phone 770-389-3855

Mailing address

3333 Riverwood Pkwy Se Ste 250
Atlanta, GA 30339-3304

Phone 770-389-3855

Other practice locations

24911 Little Mack Ave Ste C
Saint Clair Shores, MI 48080-3200

Phone 586-777-2050 · Fax 586-777-2189

1240 Eagles Landing Pkwy Ste 110
Stockbridge, GA 30281-5173

Phone 770-389-3855

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