Search › Georgia › 163WH0200X
Audra Allen
NPI 1962929802 · on the registry since 2017 · sole proprietor
Practice
- Address
- 102 Marthas Loop
Cusseta, GA 31805 - Phone
- (762) 233-3055
Registry record
- Primary taxonomy
- 163WH0200X
163WH0200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-08-22
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