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NPI Code Detail

MEDICARE: SIDNEY ISON

MEDICARE:   SIDNEY  ISON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1760242382
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIDNEY ISON
Provider Business Mailing Address
First Line : 910 S DONAHUE DR
Second Line :
City : AUBURN
State : AL
Zip : 36832-2975
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 910 S DONAHUE DR
Second Line :
City : AUBURN
State : AL
Zip : 36832-2975
Country : US
Telephone Number : 334-442-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2024
Last Update Date : 03/20/2024

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Directions to “ SIDNEY ISON ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.