Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TRACY L. ALLEN, P.A.

Active

Medical Physician Assistant · BLUE RIDGE, GA

Registration Details

NPI Number: 1124036520
Provider Type: Individual
Gender: Female
NPI Issued: Aug 3, 2006 (19.714926845466 yrs)
Last Updated: Jun 21, 2014
Licenses: PA-440 (ME)

005894 (GA)

Practice Information

Address: 101 RIVERSTONE VIS

SUITE 111

BLUE RIDGE, GA, 305136648
Browse GA providers · Browse ZIP 30513
Phone: 7069464200
Fax: 7069464243
Primary Specialty: Medical Physician Assistant
363AM0700X
Additional Specialty: Medical Physician Assistant

Other Medical Physician Assistant Providers in BLUE RIDGE, GA

Name	Credential	NPI
LINDSEY PANTER NIKNEZHAD	PA-C	1194272542

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.