NPI 1033965421 · live from the CMS NPI Registry
Tayler Hutto Allen, PA-C
Physician Assistant in Waycross, GA. National Provider Identifier 1033965421, active.
NPI record
| NPI | 1033965421 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 2100 Riverside Ave, Waycross, GA 31501 |
| Practice phone | 912-490-7777 |
| Enumerated | April 25, 2024 |
| Last updated | January 14, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 12324 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.