Individual
DR. ALLISON LEIGH-SMITH RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602
(229) 433-1000
Mailing address
4260 NELSON HILL PL, HAHIRA, GA 31632-3264
(610) 715-9177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100111
GA
390200000X
Student in an Organized Health Care Education/Training Program
OT020658
PA
Other
Enumeration date
05/21/2021
Last updated
06/25/2024
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