NPI 1679969935 · live from the CMS NPI Registry
John Coghlan Allen
Ophthalmology in Morrow, GA. National Provider Identifier 1679969935, active.
NPI record
| NPI | 1679969935 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1000 Corporate Center Dr Ste 100, Morrow, GA 30260 |
| Practice phone | 770-968-8888 |
| Mailing address | 1365 Clifton Rd Ne, Atlanta, GA 30322 |
| Enumerated | April 13, 2015 |
| Last updated | February 26, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 82817 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.