Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Michael M. Allen Jr.

Individual provider Prosthetic/Orthotic Supplier · NPI 1689519829

Mr. Michael M. Allen Jr. is a Prosthetic/Orthotic Supplier in Porterdale, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026
Specialties on file
3

Practice location Address checks out

2104 Main St Ste 13
Porterdale, GA 30014-3438
Phone: (678) 972-6944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X · Licence BR018475 (GA)
Prosthetic/Orthotic Supplier Taxonomy 335E00000X · Licence BR018475 (GA)
Specialist Taxonomy 174400000X · Licence BR018475 (GA)

Record details

NPI number1689519829
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026