Mary Judith Allen, DO | |
303 Fraser Dr, Hinesville, GA 31313-3712 | |
(912) 877-2227 | |
(912) 877-2332 |
Full Name | Mary Judith Allen |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 303 Fraser Dr, Hinesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1427077759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 51615 (Georgia) | Primary |
Entity Name | Oceanhorse Health And Wellness Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033724323 PECOS PAC ID: 1153712989 Enrollment ID: O20220124001207 |
Mailing Address | Practice Location Address |
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Mary Judith Allen, DO 13592 Waynesfield Rd, Wapakoneta, OH 45895-8621 Ph: (419) 305-5728 | Mary Judith Allen, DO 303 Fraser Dr, Hinesville, GA 31313-3712 Ph: (912) 877-2227 |
Dr. Nicole Stack Broerman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 462 Elma G Miles Pkwy, Hinesville, GA 31313 Phone: 912-369-9400 Fax: 912-877-9438 | |
Kijana Nicola Nix, MD,FAAP Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St Ste 103, Hinesville, GA 31313 Phone: 912-408-6868 Fax: 912-876-6566 | |
Dr. Phillip O Ajayi, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St Ste 101, Hinesville, GA 31313 Phone: 912-876-6868 Fax: 912-876-6566 | |
Eric Lee Hall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 512 S Main St Ste A, Hinesville, GA 31313 Phone: 912-369-5437 Fax: 912-369-5740 | |
Mrs. Brittany Loretta Carter, FNP-BC Pediatrics Medicare: Medicare Enrolled Practice Location: 455 S Main St Ste 103, Hinesville, GA 31313 Phone: 912-876-6868 Fax: 912-876-6566 | |
Douglas A Boudreau, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 303 Fraser Dr, Hinesville, GA 31313 Phone: 912-877-2227 Fax: 912-877-2332 |