Provider Demographics
NPI:1114128469
Name:HARRY S ALLEN III, M.D.,PC
Entity Type:Organization
Organization Name:HARRY S ALLEN III, M.D.,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-661-0500
Mailing Address - Street 1:805 PAMPLICO HWY STE A310
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-6058
Mailing Address - Country:US
Mailing Address - Phone:843-661-0500
Mailing Address - Fax:843-661-7370
Practice Address - Street 1:805 PAMPLICO HWY STE A310
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505-6058
Practice Address - Country:US
Practice Address - Phone:843-661-0500
Practice Address - Fax:843-661-7370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7837207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD05570Medicare UPIN
SC5259Medicare PIN