Provider Demographics
NPI:1225036890
Name:ALLEN, SUSAN ORLANDO (MD)
Entity Type:Individual
Prefix:PROF
First Name:SUSAN
Middle Name:ORLANDO
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5185 PEACHTREE PKWY
Mailing Address - Street 2:SUITE 330
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092
Mailing Address - Country:US
Mailing Address - Phone:770-476-9885
Mailing Address - Fax:770-476-8482
Practice Address - Street 1:5185 PEACHTREE PKWY
Practice Address - Street 2:SUITE 330
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092
Practice Address - Country:US
Practice Address - Phone:770-476-9885
Practice Address - Fax:770-476-8482
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2018-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA039526208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics