| Doctor Name: | MICHELLE HARPER ALLEN |
| NPI Number: | 1255697256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 2953 N Cobb Pkwy Suite 16/17 Kennesaw, GA - 301522617 |
| Business Phone Number: | 6784836880 |
| Business Fax Number: | 6784836390 |
| Mailing Address: | 1856 Tululah Trl, SMYRNA |
| State: | GA |
| Postal Code: | 300824930 |
| Phone Number: | 4043451522 |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2012 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |