Provider Demographics
NPI:1437316635
Name:ALLEN, SHAWN PATRICE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAWN
Middle Name:PATRICE
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1633 SPRUCE PINE CT SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-5671
Mailing Address - Country:US
Mailing Address - Phone:404-630-5831
Mailing Address - Fax:404-508-8944
Practice Address - Street 1:1479 BROCKETT RD STE 101
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-7326
Practice Address - Country:US
Practice Address - Phone:404-625-5427
Practice Address - Fax:404-508-8944
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-16
Last Update Date:2016-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0381682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry