NPI 1326050485
Roosevelt Allen, MD
Practice location
- Address
- 500 Medical Center Blvd Suite 220, Lawrenceville, GA 30046
- Phone
- (770) 963-2451
- Fax
- (770) 962-0017
- Mailing address
- 1930 Brannan Rd, McDonough, GA 30253-4310
Registered specialties
Urology Physician
Primary
Registry record
- NPI
- 1326050485
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 13 Aug 2006
- Record last updated
- 7 Mar 2023
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.