Provider Demographics
NPI:1063603249
Name:ALLISON, ASHLEY WOLCHINA (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:WOLCHINA
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3125 INDEPENDENCE DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4159
Mailing Address - Country:US
Mailing Address - Phone:205-879-2260
Mailing Address - Fax:205-879-2261
Practice Address - Street 1:3125 INDEPENDENCE DR
Practice Address - Street 2:SUITE 301
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-4159
Practice Address - Country:US
Practice Address - Phone:205-879-2260
Practice Address - Fax:205-879-2261
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXBP1-0029875207ND0900X
ALMD.28090207ZD0900X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4712500427OtherMYUTMB 4712500427