Provider Demographics
NPI:1033965421
Name:ALLEN, TAYLER HUTTO (PA-C)
Entity Type:Individual
Prefix:
First Name:TAYLER
Middle Name:HUTTO
Last Name:ALLEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2005 PIONEER ST
Mailing Address - Street 2:
Mailing Address - City:WAYCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:31501-6206
Mailing Address - Country:US
Mailing Address - Phone:912-490-7777
Mailing Address - Fax:912-490-7779
Practice Address - Street 1:2005 PIONEER ST
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31501-6206
Practice Address - Country:US
Practice Address - Phone:912-490-7777
Practice Address - Fax:912-490-7779
Is Sole Proprietor?:No
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant