NPI 1205119005 · live from the CMS NPI Registry
Ivey E. Allen, P.A.
Physician Assistant, Surgical in Thomasville, GA. National Provider Identifier 1205119005, active.
NPI record
| NPI | 1205119005 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 100 Mimosa Dr, Thomasville, GA 31792 |
| Practice phone | 229-226-8881 |
| Mailing address | 900 Cairo Rd, Thomasville, GA 31792 |
| Enumerated | September 28, 2011 |
| Last updated | September 17, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | 006083 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.