MEDICARE: PETER EDWARD ALLOTEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	045693	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164482808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER EDWARD ALLOTEY MD

Provider Business Mailing Address
First Line	:	5398 THOMASTON RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31220-8110
Country	:	US
Telephone Number	:	478-743-8316
Fax Number	:	478-743-1824

Provider Business Practice Location Address
First Line	:	5398 THOMASTON RD
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31220-8110
Country	:	US
Telephone Number	:	478-743-8316
Fax Number	:	478-743-1824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	12/14/2023

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