Whalio Doctors

NPI 1326050485

Roosevelt Allen, MD

Practitioner Urology Physician Lawrenceville, GA

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
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 036083 (GA)

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.