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Michael Allen

NPI 1689519829 · on the registry since 2026 · sole proprietor

Practice

Address
2104 Main St Ste 13
Porterdale, GA 30014
Phone
(678) 972-6944
Organisation at this address
Maurice Medical
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
332BC3200X
332BC3200X
Also registered as
335E00000X
174400000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia