| Allen Family Healthcare Llc | |
|
7930 Highway 85 Ste B Riverdale GA 30274-3902 | |
| (404) 827-8971 | |
| (470) 278-5252 |
| Full Name | Allen Family Healthcare Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7930 Highway 85 Ste B, Riverdale, Georgia |
| Authorized Official Name and Position | Terrie H Allen (OWNER) |
| Authorized Official Contact | 6787687541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Family Healthcare Llc 7930 Highway 85 Ste B Riverdale GA 30274-3902 Ph: (404) 827-8971 | Allen Family Healthcare Llc 7930 Highway 85 Ste B Riverdale GA 30274-3902 Ph: (404) 827-8971 |
| NPI Number | 1831621887 |
|---|---|
| Provider Enumeration Date | 03/29/2017 |
| Last Update Date | 08/04/2022 |
| Medicare PECOS PAC ID | 1658602354 |
|---|---|
| Medicare Enrollment ID | O20191010001966 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831621887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F0712070 (Georgia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2016009761 (Georgia) | Primary |
| Provider Name | Terrie H Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407109267 PECOS PAC ID: 7113170986 Enrollment ID: I20130102000316 |
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