| Khadijatu E Allen, MD | |
|
204 E 15th St, Alma, GA 31510 | |
| (912) 632-2952 | |
| (912) 632-8682 |
| Full Name | Khadijatu E Allen |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 204 E 15th St, Alma, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235185455 | NPI | - | NPPES |
| 00963344B | Medicaid | GA | |
| 051722401 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 44669 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | 44669 (Georgia) | Primary |
| Entity Name | Bacon County Health Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629185285 PECOS PAC ID: 1850294034 Enrollment ID: O20040127001164 |
| Mailing Address | Practice Location Address |
|---|---|
| Khadijatu E Allen, MD 204 E 15th St, Alma, GA 31510-2908 Ph: (912) 632-2952 | Khadijatu E Allen, MD 204 E 15th St, Alma, GA 31510 Ph: (912) 632-2952 |
Dr. Harrison Clay Carter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1126 W 12th St, Alma, GA 31510 Phone: 912-632-7300 Fax: 912-632-1326 | |
Dr. Pitchamuthu Solomon Ramanujeyam, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 207 S Wayne St, Alma, GA 31510 Phone: 912-632-7051 Fax: 912-632-6478 | |
Dr. Neha Kakkar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 E 15th St, Alma, GA 31510 Phone: 912-632-2952 Fax: 912-632-8682 |