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1326050485
ROOSEVELT ALLEN
LAWRENCEVILLE, GA
NPI
1326050485
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: GA 036083)
Enumeration Date
2006-08-13
Last Update Date
2023-03-07
Business Address
ROOSEVELT ALLEN M.D.
500 MEDICAL CENTER BLVD SUITE 220
LAWRENCEVILLE, GA 30046
Phone number: 770-963-2451
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Mailing Address
ROOSEVELT ALLEN M.D.
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone number: 678-284-4040
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