Provider Demographics
NPI:1518968338
Name:FILSTEIN, ALLEN B (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:B
Last Name:FILSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2400 BELLEVUE RD
Mailing Address - Street 2:SUITE 21-A
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2885
Mailing Address - Country:US
Mailing Address - Phone:478-275-7202
Mailing Address - Fax:478-274-8418
Practice Address - Street 1:1349 MILSTEAD RD NE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30012-3871
Practice Address - Country:US
Practice Address - Phone:770-785-7546
Practice Address - Fax:770-483-4159
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA017383207ND0900X, 207N00000X, 207NP0225X, 207NS0135X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
0565235OtherAETNA
031625OtherUNITED HEALTHCARE
070010646OtherRAILROAD MEDICARE
0300073OtherEVERCARE
9912601OtherCIGNA
144127OtherBCBS
2788OtherKAISER
0565235OtherAETNA