Healthcare Provider Details

I. General information

NPI: 1285254888
Provider Name (Legal Business Name): ALLYSON BIAS-DZIERZAK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLYSON BIAS MD

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 05/09/2025
Certification Date: 05/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 15TH ST
AUGUSTA GA
30912-3656
US

IV. Provider business mailing address

997 SAINT SEBASTIAN WAY # EG-3005
AUGUSTA GA
30912-2613
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-6699
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number97250
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number97250
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: