Individual
ALLISON HEADLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4400 N HIGH ST, COLUMBUS, OH 43214-2635
(740) 779-4598
Mailing address
2400 CORPORATE EXCHANGE DR STE 102, COLUMBUS, OH 43231-7651
(614) 505-7633
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003151
OH
Other
Enumeration date
11/03/2010
Last updated
08/19/2020
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