NPI 1720060122 · live from the CMS NPI Registry
Christian Frederick Allen, P.A.
Anesthesiologist Assistant in Marietta, GA. National Provider Identifier 1720060122, active.
NPI record
| NPI | 1720060122 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiologist Assistant 367H00000X |
| Practice location | 677 Church St Ne, Marietta, GA 30060 |
| Practice phone | 770-794-0477 |
| Mailing address | Po Box 1950, Douglasville, GA 30133 |
| Enumerated | November 19, 2005 |
| Last updated | June 17, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 002844 (GA) |
| Anesthesiologist Assistant primary | 367H00000X | 2844 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.