Neal, Mary Chandler Allen

Neal, Mary Chandler Allen is an individual health care provider with primary practice located at 2520 Windy Hill Rd Se Suite Number 104, Marietta GA 30067-8664. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Neal, Mary Chandler Allen can be contacted via phone (678) 501-5601.

Contact Information

Primary practice address
2520 Windy Hill Rd Se Suite Number 104 Marietta GA 30067-8664
Phone: (678) 501-5601
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN233995 Georgia

Profile Details

NPI number 1114313939
LBN Legal business name Neal, Mary Chandler Allen
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2015
Last updated Jan 31st, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114313939 NPPES
Georgia MEDICAID 003159713A

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