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Individual

DR. RON R ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 W H SMITH BLVD, GREENVILLE, NC 27834-3764
(252) 329-0025
(252) 329-0325
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
000000752
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
127YY
BCBS NC
NC
05
89127YY
NC
01
8927518
CIGNA
NC
01
920005999
RAILROAD MEDICARE
NC
01
P00807985
RAILROAD MEDICARE 12 17 09
NC
Enumeration date
06/14/2005
Last updated
06/01/2010
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