Individual
ISAIAH GARY ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 JABARA AVE, SEYMOUR JOHNSON A F B, NC 27531-2310
(919) 722-1904
Mailing address
314 CHANUTE RD, GOLDSBORO, NC 27534-5516
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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