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Individual

MICHAEL GARY ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
421 SOUTH MAIN STREET, CROSSVILLE, TN 38555
(931) 484-9511
(931) 456-4405
Mailing address
1307 WEST AVE, SUITE 102, CROSSVILLE, TN 38555-5107
(931) 456-4433
(931) 456-4405

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
188099
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
188099
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
18895
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
1974
TN
207LP2900X
Pain Medicine (Anesthesiology) Physician
6347
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS-006810L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016134270002
PA
05
01715897
NY
Enumeration date
10/09/2005
Last updated
01/31/2012
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