Grant R Allen, MD | |
635 W College St, Florence, AL 35630-5313 | |
(256) 764-3431 | |
Not Available |
Full Name | Grant R Allen |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 635 W College St, Florence, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700894714 | NPI | - | NPPES |
513-05147 | Other | AL | BCBS |
318488 | Medicaid | AL | |
317560 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 24600 (Alabama) | Primary |
Entity Name | Riverbend Center For Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508822313 PECOS PAC ID: 6507821048 Enrollment ID: O20041124000245 |
Mailing Address | Practice Location Address |
---|---|
Grant R Allen, MD 635 W College St, Florence, AL 35630-5313 Ph: (256) 764-3431 | Grant R Allen, MD 635 W College St, Florence, AL 35630-5313 Ph: (256) 764-3431 |
Richetta T Huffman-parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 421 West College St, Infants And Childrens Clinic Pc, Florence, AL 35630 Phone: 256-764-9522 Fax: 256-764-1139 | |
John Hamilton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 421 West College St, Infants And Childrens Clinic Pc, Florence, AL 35630 Phone: 256-764-0670 Fax: 256-764-1139 | |
Dr. Gerald Richard Freeman, M.D.,PHD. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 208 Ana Dr, Florence, AL 35630 Phone: 256-766-3983 Fax: 256-764-1554 | |
Dr. Judy Thompson Moore, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 208 Ana Dr, Florence, AL 35630 Phone: 256-766-3983 Fax: 256-764-1554 | |
Dr. Daniel James Hammond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 208 Ana Dr, Florence, AL 35630 Phone: 256-766-3983 Fax: 256-764-1554 | |
Jordan Rutherford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 421 W College St, Florence, AL 35630 Phone: 256-764-9522 Fax: 256-764-1139 | |
Sarah Van Kelley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 208 Ana Dr, Florence, AL 35630 Phone: 256-766-3983 Fax: 256-764-1554 |