Whalio Doctors

NPI 1922352517

Samuel Nathaniel McAllister, MD

Practitioner Dietary Manager Tucker, GA

Practice location

Address
5745 Lawrenceville Hwy, Tucker, GA 30084-1919
Phone
(770) 717-5010
Fax
(770) 717-9831

Registered specialties

Dietary Manager Primary
Dietary & Nutritional Service Providers Taxonomy 132700000X Licence 029210 (GA)

Registry record

NPI
1922352517
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Nov 2012
Record last updated
3 Nov 2012

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.