| Ms Tracy L Allen, PA | |
|
101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6648 | |
| (706) 946-4200 | |
| (706) 946-4243 |
| Full Name | Ms Tracy L Allen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 101 Riverstone Vis, Blue Ridge, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124036520 | NPI | - | NPPES |
| 003100897C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-440 (Maine) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 005894 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tracy L Allen, PA 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6648 Ph: (706) 946-4200 | Ms Tracy L Allen, PA 101 Riverstone Vis, Suite 111, Blue Ridge, GA 30513-6648 Ph: (706) 946-4200 |
Lindsey Panter Niknezhad, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Blue Ridge, GA 30513 Phone: 706-632-4400 | |
Travis Keith Hardin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 111, Blue Ridge, GA 30513 Phone: 706-946-4200 Fax: 706-492-3206 |