Individual
SEAN C ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 MILLSAPS DR STE B, HATTIESBURG, MS 39402-1587
(601) 255-0736
Mailing address
6190 N DAVIS HWY, PENSACOLA, FL 32504-6969
(850) 476-9236
(850) 476-9818
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
24489
MS
207W00000X
Ophthalmology Physician
MD28098
AL
207W00000X
Ophthalmology Physician
ME132342
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
24489
MS
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD28098
AL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME132342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166153
—
AL
01
—
51153620
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/22/2008
Last updated
07/10/2024
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