Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IDI ALLEN, M.D.
Active Sole ProprietorDR. IDI ALLEN, M.D. is a Interventional Vascular Surgery healthcare provider located in FAYETTEVILLE, Georgia. NPI 1700029402 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1700029402
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2009 (17.161266197619 yrs)
- Last Updated
- Mar 21, 2019
- Licenses
-
70849 (GA)70849 (GA)70849 (GA)70849 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 YORKTOWN DR STE 211FAYETTEVILLE, GA, 302141578Browse GA providers · Browse ZIP 30214
- Phone
- 4704812020
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Pain Medicine
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- Interventional Vascular Surgery
Other Interventional Vascular Surgery Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| ZWADE J MARSHALL | M.D. | 1750671400 |
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.