NPI 1073080263 · live from the CMS NPI Registry
Thomas Allen
Physician Assistant in Savannah, GA. National Provider Identifier 1073080263, active.
NPI record
| NPI | 1073080263 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4 E Jackson Blvd, Savannah, GA 31405 |
| Practice phone | 912-355-1010 |
| Mailing address | 218 Calm Oak Cir, Savannah, GA 31419 |
| Enumerated | October 26, 2018 |
| Last updated | June 18, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.