MEDICARE: DR. ALLEN LEE DOLLAR 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	207RC0000X	Cardiovascular Disease Physician	35244	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35244	OTHER	GA	STATE LICENSE

General Provider Information

NPI Number	:	1720040918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN LEE DOLLAR M.D.

Provider Business Mailing Address
First Line	:	49 JESSE HILL JR DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3049
Country	:	US
Telephone Number	:	404-616-0539
Fax Number	:	404-616-4400

Provider Business Practice Location Address
First Line	:	49 JESSE HILL JR DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3049
Country	:	US
Telephone Number	:	404-616-0539
Fax Number	:	404-616-4400

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	03/03/2016

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