Jacob Allen

NPI #1639053077 in Fort Moore, Georgia

Provider Information

NPI Number: 1639053077
Entity Type: Individual
Name: Jacob Allen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 31, 2025
Last Updated: Jul 31, 2025

Practice Location

Address: 6600 VAN AALST BLVD BLDG 9250
City: Fort Moore
State: Georgia
ZIP Code: 31905-2102
Phone: (978) 430-1937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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