NPI 1003760620

Micah Beassie Allen, MEDDTCALT

Practitioner Specialist Brookhaven, MS

Practice location

Address: 3029 Pearlie Dr NW, Brookhaven, MS 39601-9077
Phone: (601) 757-4110

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Mississippi →

Registry record

NPI: 1003760620
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Feb 2026
Record last updated: 21 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.