Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0900X | Dermatopathologist | BP1-0029875 | TX |
NPI | 1063603249 |
---|---|
Provider Name | Dr. Ashley Wolchina Allison |
First Address | Homewood, AL 35209-4159 |
Second Address | Homewood, AL 35209-4159 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2007 |
Last Update Date | 21/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4712500427 | MYUTMB 4712500427 (01) |