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Individual
ALLISON SUPERNEAU
Active
Individual
ALLISON SUPERNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
UO4614
FL
2086S0102X
Surgical Critical Care Physician
Primary
354386
LA
2086S0127X
Trauma Surgery Physician
009465
AZ
2086S0127X
Trauma Surgery Physician
97242
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
08/11/2015
Last updated
09/14/2026
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