MEDICARE: DR. RENEE SIMONE YOLANDA ALLEN M.D.

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	207V00000X	Obstetrics & Gynecology Physician	060787	GA

General Provider Information

NPI Number	:	1578749883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENEE SIMONE YOLANDA ALLEN M.D.

Provider Business Mailing Address
First Line	:	1103 WRIGHT AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-2729
Country	:	US
Telephone Number	:	404-694-0152
Fax Number	:	404-500-0791

Provider Business Practice Location Address
First Line	:	2870 PEACHTREE RD NW STE 915-1248
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-2918
Country	:	US
Telephone Number	:	888-623-0152
Fax Number	:	404-500-0791

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

Provider Enumeration Date	:	01/16/2008
Last Update Date	:	02/24/2025

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