Provider Demographics
NPI:1720169436
Name:DUNLAP, ALLAN B (MD)
Entity Type:Individual
Prefix:
First Name:ALLAN
Middle Name:B
Last Name:DUNLAP
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 1:970 JOE FRANK HARRIS PKWY SE
Mailing Address - Street 2:SUITE 240
Mailing Address - City:CARTERSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30120-2159
Mailing Address - Country:US
Mailing Address - Phone:770-386-1261
Mailing Address - Fax:770-382-9343
Practice Address - Street 1:970 JOE FRANK HARRIS PKWY SE
Practice Address - Street 2:SUITE 240
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-2159
Practice Address - Country:US
Practice Address - Phone:770-386-1261
Practice Address - Fax:770-382-9343
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist