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NPI Code Detail

MEDICARE: RENEE ALLI MD

MEDICARE: RENEE ALLI 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
12080A0000XPediatric Adolescent Medicine Physician51424GA

General Provider Information

NPI Number : 1003870874
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE ALLI MD
Provider Business Mailing Address
First Line : 5134 PEACHTREE RD
Second Line :
City : CHAMBLEE
State : GA
Zip : 30341-2724
Country : US
Telephone Number : 678-872-7100
Fax Number : 678-843-8501
Provider Business Practice Location Address
First Line : 5134 PEACHTREE RD
Second Line :
City : CHAMBLEE
State : GA
Zip : 30341-2724
Country : US
Telephone Number : 678-872-7100
Fax Number : 678-843-8501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2006
Last Update Date : 06/06/2022

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