Wellformed AI

NPI 1003898412 · live from the CMS NPI Registry

Samuel M. Allen, M.D.

Family Medicine in Quitman, MS. National Provider Identifier 1003898412, active.

NPI record

NPI1003898412 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine 207Q00000X
Practice location603 S Archusa Ave, Quitman, MS 39355
Practice phone601-776-2123
Mailing addressPo Box 5208, Meridian, MS 39302
EnumeratedNovember 20, 2005
Last updatedNovember 6, 2013
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine primary207Q00000X06374 (MS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.