MEDICARE: ALLISON A ROWELL 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
1	2084P0800X	Psychiatry Physician	109407	GA

General Provider Information

NPI Number	:	1629697511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON A ROWELL MD

Provider Business Mailing Address
First Line	:	2284 BOULEVARD GRANADA SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-3345
Country	:	US
Telephone Number	:	770-878-1508
Fax Number	:

Provider Business Practice Location Address
First Line	:	2284 BOULEVARD GRANADA SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-3345
Country	:	US
Telephone Number	:	770-878-1508
Fax Number	:

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

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	01/13/2026

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