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Individual

DR. ALLISON ROGERS PAINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
575 FURYS FERRY RD, MARTINEZ, GA 30907-9059
(706) 691-7079
(706) 364-0416
Mailing address
575 FURYS FERRY RD, MARTINEZ, GA 30907-9059
(706) 691-7079
(706) 364-0416

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
83220
GA
207N00000X
Dermatology Physician
Primary
MT209874
PA
207ND0101X
MOHS-Micrographic Surgery Physician
83220
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MT209874
PENNSYLVANIA TRAINING LISCENCE
Enumeration date
04/10/2015
Last updated
05/24/2023
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