Individual
HAROLD WAYNE ALISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2428 KNOB CREEK ROAD, JOHNSON CITY, TN 37604
(423) 282-5054
(423) 230-5097
Mailing address
2050 MEADOWVIEW PKWY, KINGSPORT, TN 37660
(423) 230-5000
(423) 230-5097
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101225600
VA
174400000X
Specialist
MD06301
TN
207RC0000X
Cardiovascular Disease Physician
0101225600
VA
207RC0000X
Cardiovascular Disease Physician
6301
TN
207RI0011X
Interventional Cardiology Physician
0101225600
VA
207RI0011X
Interventional Cardiology Physician
Primary
6301
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005865581
—
VA
01
—
320314
ANTHEM
VA
05
—
3373123
—
TN
01
—
4017255
BCBS
TN
05
—
89014AT
—
NC
05
—
890547E
—
NC
01
—
TN0101
JDH
TN
Enumeration date
08/30/2006
Last updated
05/16/2013
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