ROOSEVELT ALLEN

GEORGIA UROLOGY, PA

Dr ROOSEVELT ALLEN is a male medical professional, specializing in Urology. He graduated in 1987 from Medical College Of Georgia.

Contact

GEORGIA UROLOGY, PA

2685 MILSCOTT DR
DECATUR
GA
300335906

Tel: 4042923727

ROOSEVELT ALLEN Information

Npi 1326050485
Pac Id 4486727419
Professional Enrollment Id I20101215000022
Last Name ALLEN
First Name ROOSEVELT
Middle Name
Suffix
Gender M
Credential
Medical School Name MEDICAL COLLEGE OF GEORGIA
Graduation Year 1987
Primary Specialty UROLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GEORGIA UROLOGY, PA
Group Practice Pac Id 8921094376
Number Of Group Practice Members 55
Line 1 Street Address 2685 MILSCOTT DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DECATUR
State GA
Zip Code 300335906
Phone Number 4042923727
Hospital Affiliation Ccn 1 110087
Hospital Affiliation Lbn 1 GWINNETT MEDICAL CENTER
Hospital Affiliation Ccn 2 110161
Hospital Affiliation Lbn 2 NORTHSIDE HOSPITAL
Hospital Affiliation Ccn 3 110192
Hospital Affiliation Lbn 3 EASTSIDE MEDICAL CENTER
Hospital Affiliation Ccn 4 110046
Hospital Affiliation Lbn 4 CLEARVIEW REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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