KHADIJATU E ALLEN MD

BACON COUNTY HEALTH SERVICES, INC.

Dr KHADIJATU E ALLEN MD is a male medical professional, specializing in Internal Medicine. He graduated in 1990.

Contact

BACON COUNTY HEALTH SERVICES, INC.

302 S WAYNE ST
BACON CO HOSPITAL
ALMA
GA
315100987

Tel: 9126328961

KHADIJATU E ALLEN MD Information

Npi 1235185455
Pac Id 2264423029
Professional Enrollment Id I20111115000085
Last Name ALLEN
First Name KHADIJATU
Middle Name E
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1990
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BACON COUNTY HEALTH SERVICES, INC.
Group Practice Pac Id 1850294034
Number Of Group Practice Members 2
Line 1 Street Address 302 S WAYNE ST
Line 2 Street Address BACON CO HOSPITAL
Marker Of Address Line 2 Suppression
City ALMA
State GA
Zip Code 315100987
Phone Number 9126328961
Hospital Affiliation Ccn 1 111327
Hospital Affiliation Lbn 1 BACON COUNTY HOSPITAL
Hospital Affiliation Ccn 2 110124
Hospital Affiliation Lbn 2 WAYNE MEMORIAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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