Individual
DR. ALLISON G DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
063856
GA
207RI0011X
Interventional Cardiology Physician
Primary
063856
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057070011A
—
GA
05
—
057070011B
—
GA
05
—
057070011C
—
GA
05
—
057070011D
—
GA
05
—
057070011E
—
GA
05
—
057070011F
—
GA
01
—
063856
GA MEDICAL LICENSE
GA
Enumeration date
04/18/2007
Last updated
10/28/2020
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