Provider Demographics
NPI:1063571354
Name:HEMINGWAY, ALLISON WINN (MPH, PA-C)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:WINN
Last Name:HEMINGWAY
Suffix:
Gender:F
Credentials:MPH, PA-C
Other - Prefix:MS
Other - First Name:ALLISON
Other - Middle Name:ANNE
Other - Last Name:WINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPH, PA-C
Mailing Address - Street 1:259 BEVERLY RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-2643
Mailing Address - Country:US
Mailing Address - Phone:404-873-1332
Mailing Address - Fax:404-686-4956
Practice Address - Street 1:550 PEACHTREE STREET
Practice Address - Street 2:18TH FLOOR
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308
Practice Address - Country:US
Practice Address - Phone:404-686-1566
Practice Address - Fax:404-696-4056
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003089363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant