Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 6711 | NC |
NPI | 1023783859 |
---|---|
Provider Name | Mary Frances Allen |
First Address | Willow Spring, NC 27592-7752 |
Second Address | Smithfield, NC 27577 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2021 |
Last Update Date | 13/08/2021 |