Individual
ALLISON HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON ROAD, ATLANTA, GA 30332-6358
(404) 778-3900
Mailing address
1443 BEACON ST APT 409, BROOKLINE, MA 02446-4710
(410) 916-0301
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
272027
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
272027
MA
207R00000X
Internal Medicine Physician
272027
MA
208000000X
Pediatrics Physician
272027
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BM9091961658
—
MA
Enumeration date
06/18/2017
Last updated
03/23/2022
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