Thomas M. Allen M.D., LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THOMAS M. ALLEN M.D., LLC

Practice address

500 Maple Dr
Vidalia, GA 30474-8998

Phone

(912) 537-1815

Fax

(912) 537-9557

NPI assigned

Nov 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shelly Harrell, MHSA

Title

Director

Phone

(912) 538-5508

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1285814293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748998",
            "telephone_number": "912-537-1815",
            "fax_number": "912-537-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748998",
            "telephone_number": "912-537-1815",
            "fax_number": "912-537-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. ALLEN M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-538-5508",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.