Healthcare Provider Details

I. General information

NPI: 1679668487
Provider Name (Legal Business Name): CYNTHIA E ALLEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 RIVER OAKS DR STE 100
FLOWOOD MS
39232-9564
US

IV. Provider business mailing address

1050 RIVER OAKS DR STE 100
FLOWOOD MS
39232-9564
US

V. Phone/Fax

Practice location:
  • Phone: 601-200-4760
  • Fax: 601-200-4742
Mailing address:
  • Phone: 601-200-4760
  • Fax: 601-200-4742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11328
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: