Healthcare Provider Details

I. General information

NPI: 1245205079
Provider Name (Legal Business Name): SHEILA G ALLISON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 01/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6216 FAYETTEVILLE ROAD SUITE 105
DURHAM NC
27713
US

IV. Provider business mailing address

6216 FAYETTEVILLE ROAD SUITE 105
DURHAM NC
27713
US

V. Phone/Fax

Practice location:
  • Phone: 919-405-7000
  • Fax: 919-405-7006
Mailing address:
  • Phone: 919-405-7000
  • Fax: 919-405-7006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number9700172
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: