Provider Demographics
NPI:1285602730
Name:ALLISON, DAVID CAMPBELL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CAMPBELL
Last Name:ALLISON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-289-8427
Mailing Address - Fax:704-283-5522
Practice Address - Street 1:1420 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5160
Practice Address - Country:US
Practice Address - Phone:704-289-8427
Practice Address - Fax:704-283-5522
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2024-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9800175207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911509Medicaid
SCN82042Medicaid
SCN82042Medicaid
NCG80129Medicare UPIN