Provider Demographics
NPI:1205168812
Name:POIS, ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:
Last Name:POIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 DEEP RUN RD
Mailing Address - Street 2:
Mailing Address - City:CARTERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23027-9786
Mailing Address - Country:US
Mailing Address - Phone:804-363-4569
Mailing Address - Fax:804-375-3526
Practice Address - Street 1:1300 DEEP RUN RD
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23027-9786
Practice Address - Country:US
Practice Address - Phone:804-363-4569
Practice Address - Fax:804-375-3526
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-06
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031659208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)