Doctor Name: | DR. HARVEY HAMILTON ALLEN |
NPI Number: | 1649277179 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14550 |
Business Practice Address: | 491 N Cleveland Ave Winston Salem, NC - 271014334 |
Business Phone Number: | 3367223193 |
Business Fax Number: | 3367489429 |
Mailing Address: | 491 N Cleveland Ave, WINSTON SALEM |
State: | NC |
Postal Code: | 271014334 |
Phone Number: | 3367223193 |
Fax Number: | 3367489429 |
NPI Enumeration Date: | 06/30/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14550 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |