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Individual

TYLER SCOTT ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
317 5TH ST NE, FAYETTE, AL 35555-2009
(205) 442-5996
Mailing address
317 5TH ST NE, FAYETTE, AL 35555-2009

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
012345678
AL

Other

Enumeration date
11/03/2018
Last updated
11/03/2018
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