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NPI Code Detail

MEDICARE: DR. PEARLINE ALLEN D.C.

MEDICARE: DR. PEARLINE ALLEN D.C.
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
1111NR0400XRehabilitation ChiropractorCHIR009201GA

General Provider Information

NPI Number : 1093123804
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEARLINE ALLEN D.C.
Provider Business Mailing Address
First Line : 623 WALTON WAY SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-3857
Country : US
Telephone Number : 718-825-5097
Fax Number :
Provider Business Practice Location Address
First Line : 130 EAGLE SPRING CT STE 3D
Second Line :
City : STOCKBRIDGE
State : GA
Zip : 30281-7274
Country : US
Telephone Number : 718-825-5097
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2014
Last Update Date : 07/24/2014

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Directions to “ DR. PEARLINE ALLEN D.C.” Practice Location

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