Healthcare Provider Details

I. General information

NPI: 1528206018
Provider Name (Legal Business Name): ALLISON AMELIA LINTON PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 11/05/2021
Certification Date: 11/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 NEWMAN RD
NEW BERN NC
28562-5238
US

IV. Provider business mailing address

PO BOX 12248
NEW BERN NC
28561-2248
US

V. Phone/Fax

Practice location:
  • Phone: 252-633-5333
  • Fax: 252-633-9443
Mailing address:
  • Phone: 252-633-5333
  • Fax: 252-633-9443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-01657
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: