MEDICARE: WILLIAM BAKER ALLEN 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	174400000X	Specialist	9918	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	330002031	OTHER	SC	RAILROAD MEDICARE

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	:	1700856218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM BAKER ALLEN MD

Provider Business Mailing Address
First Line	:	2435 FOREST DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2026
Country	:	US
Telephone Number	:	803-254-5140
Fax Number	:	803-779-1279

Provider Business Practice Location Address
First Line	:	2435 FOREST DR
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2026
Country	:	US
Telephone Number	:	803-254-5140
Fax Number	:	803-779-1279

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	12/30/2011

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Directions to “ WILLIAM BAKER ALLEN MD” Practice Location

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