Provider Demographics
NPI:1578749883
Name:ALLEN, RENEE SIMONE YOLANDA (MD)
Entity Type:Individual
Prefix:DR
First Name:RENEE
Middle Name:SIMONE YOLANDA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3752 MARKET WALK
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30021-2563
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:404-299-5110
Practice Address - Street 1:1255 HIGHWAY 54 W
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4526
Practice Address - Country:US
Practice Address - Phone:770-719-7339
Practice Address - Fax:770-719-7480
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2014-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA060787207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology