Healthcare Provider Details

I. General information

NPI: 1801845409
Provider Name (Legal Business Name): ALLEN HENRY HORD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 11/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3161 HOWELL MILL RD STE 310
ATLANTA GA
30327
US

IV. Provider business mailing address

3400 PEACHTREE RD NE STE 811
ATLANTA GA
30326-1107
US

V. Phone/Fax

Practice location:
  • Phone: 404-350-0980
  • Fax: 404-350-8345
Mailing address:
  • Phone: 404-350-0980
  • Fax: 404-350-8345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number027828
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: