| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GRANT R ALLEN | 1700894714 | 2024-07-05 |
Grant R Allen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1700894714. Registration indicates Grant R Allen is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Grant R Allen MD |
| Practice Office Address | 635 W COLLEGE ST FLORENCE, AL US |
| Practice Office Telephone | 2567643431 |
| Mailing Address | 635 W COLLEGE ST FLORENCE, AL 356305313 US |
| Business Telephone | 2567643431 |
| Business Fax | 2567652036 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 635 W College St | Florence, AL 356305313 | 2567643431 |
| Code | Practice | License No State |
|---|---|---|
| 208000000X PRIMARY | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 24600
AL |
| 513-05147 | OTHER | AL | BCBS |
| 318488 | MEDICAID | AL | |
| 317560 | MEDICAID | AL |