ROBERT RAEGAN ALLEN III (NPI# 1336325307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336325307 |
Entity Type | Individual |
Full Name | ROBERT RAEGAN ALLEN III |
Credential | CNIM |
Practice Address |
6250 Shiloh Rd Ste 110 Alpharetta GA 30005-8400 |
Mailing Address |
5185 Young Deer Dr Cumming GA 30041-8964 |
Practice Telephone | 7707810800 |
Mailing Telephone | 7708899806 |
Enumeration Date | 2008-01-21 |
Last Update Date | 2008-01-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246Z00000X | Specialist/Technologist, Other | 3 | GA | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821637406 | Robert William Allen | Counselor | 2831 Saint Rose Pkwy # 227, Henderson, NV 89052-4840 | 2019-12-31 |
1104212422 | Robert Allen | Internal Medicine | 1731 N Pacific Ave, Glendale, CA 91202-1108 | 2015-04-14 |
1336552942 | Robert Winston Allen | Dentist | 2916 U.S. 75, Sherman, TX 75090 | 2014-06-11 |
1578804100 | Robert R Allen | Specialist | 10 Salem Way, Malvern, PA 19355-9705 | 2013-03-06 |
1023389798 | Robert D. Allen | Registered Nurse | 516 Nizhoni Blzd, Gallup, NM 87301 | 2012-01-26 |
1588944706 | Robert Shepherd Allen | Counselor | 801 11th Ave N, North Myrtle Beach, SC 29582-2644 | 2011-08-18 |
1023251287 | Robert Johnson Allen Jr. | Plastic Surgery | 1275 York Ave # Mri1007, New York, NY 10065-6007 | 2009-04-16 |
1851537294 | Robert B Allen | Specialist | 118 1/2 Stanford Dr Se, Albuquerque, NM 87106-3538 | 2009-01-06 |
1558510644 | Robert Lyn Allen | Marriage & Family Therapist | 2662 Banbury Pl, Los Angeles, CA 90065-4609 | 2008-09-12 |
1700050283 | Robert T. Allen | Psychiatry & Neurology | 71150 Patricia Park Pl, Rancho Mirage, CA 92270-2337 | 2008-04-16 |
Street Address |
6250 SHILOH RD STE 110 |
City | ALPHARETTA |
State | GA |
Zip Code | 30005-8400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295911055 | Neuro Matrix, LLC | Physiological Laboratory | 6250 Shiloh Rd Ste 110, Alpharetta, GA 30005-8400 | 2008-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922615483 | Amarrah Shatia Guyton | Behavior Technician | 6505 Shiloh Point Road, Alpharetta, GA 30005 | 2020-09-29 |
1396351771 | Stephanie Hightower | Behavior Technician | 6505 Shiloh Pt Rd, Alpharetta, GA 30005 | 2020-09-21 |
1689130874 | Optima Eye Care LLC | Optometrist | 6365 Halcyon Way, Suite 935, Alpharetta, GA 30005 | 2019-02-13 |
1275006652 | Ariel Kaitlyn Petrakovich | Behavioral Analyst | 6505 Shiloh Road, Suite 100, Alpharetta, GA 30005 | 2019-01-08 |
1003306515 | Brightview Pharmacy, LLC | Pharmacy | 3333 Old Milton Pkwy Ste 130, Alpharetta, GA 30005 | 2018-05-10 |
1316452600 | Kara Marie Arps | Physical Therapist | 855 Yearling Chase, Alpharetta, GA 30005 | 2017-12-08 |
1417468307 | Paige Biringer | Physical Therapist | 6495 Shiloh Rd Ste 100, Alpharetta, GA 30005 | 2017-10-18 |
1528587169 | Laura Kinney Pearce | Speech-Language Pathologist | 6505 Shiloh Rd #100, Alpharetta, GA 30005 | 2017-09-14 |
1629526678 | Samantha Menton | Chiropractor | 11875 Jones Bridge Road, Suite A, Alpharetta, GA 30005 | 2016-09-20 |
1427424183 | Trek Medical, LLC | Clinic/Center | 5895 Windward Parkway, Suite 150, Alpharetta, GA 30005 | 2015-08-18 |
Find all providers in zip 30005 |
Taxonomy Code | 246Z00000X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Specialist/Technologist, Other |
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467052431 | Atlanta Regenerative Healthcare LLC | Specialist/Technologist, Other | 2445 Moon Rd Ste 4, Grayson, GA 30017-7851 | 2020-10-29 |
1215491691 | Daniels Earl Peters | Specialist/Technologist, Other | 3114 Asbury Sq, Atlanta, GA 30346-2421 | 2019-01-30 |
1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
1891146726 | Tammy Yvonne Hall | Specialist/Technologist, Other | 6658 Ashebrooke Dr, Douglasville, GA 30135-5375 | 2016-06-22 |
1659734721 | Latoya Franklin | Specialist/Technologist, Other | 303 Parkway Dr Ne # 442, Atlanta, GA 30312-1212 | 2016-04-05 |
1750742896 | Angel Mccleave | Specialist/Technologist, Other | 1880 Beaver Ridge Circle, Suite D, Norcross, GA 30071 | 2016-03-17 |
1174998538 | Pamela Clardy Key | Specialist/Technologist, Other | 834 Park Ln, Madison, GA 30650-1950 | 2015-12-09 |
1780053397 | Robert L Lindsey IIi | Specialist/Technologist, Other | 2 Sandstone Dr, Jasper, GA 30143-1805 | 2015-09-24 |
1619346921 | Boise Eugene Hankerson Sr. | Specialist/Technologist, Other | 2730 Barry Dr, Augusta, GA 30904-5284 | 2015-09-16 |
1467894386 | Danielle Edwards | Specialist/Technologist, Other | 2399 Parkland Dr Ne, Suite 1112, Atlanta, GA 30324-3557 | 2013-07-19 |
Find all providers with the same taxonomy |
City | ALPHARETTA |
Zip Code | 30005 |
Please comment or provide details below to improve the information on ROBERT RAEGAN ALLEN III.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.