Whalio Doctors

NPI 1003898412

Samuel M. Allen, MD

Practitioner Family Medicine Physician Quitman, MS

Practice location

Address
603 S Archusa Ave, Quitman, MS 39355-2331
Phone
(601) 776-2123
Fax
(601) 776-6006
Mailing address
PO Box 5208, Meridian, MS 39302-5208

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 06374 (MS)

Registry record

NPI
1003898412
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Nov 2005
Record last updated
6 Nov 2013

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.