Provider Demographics
NPI:1427493071
Name:VURNAKES, ALISON LEE (MD)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:LEE
Last Name:VURNAKES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:ALISON
Other - Middle Name:LEE
Other - Last Name:EDGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:113 CHANNEL COVE DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-4907
Mailing Address - Country:US
Mailing Address - Phone:252-230-0759
Mailing Address - Fax:
Practice Address - Street 1:716 S 10TH ST
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-5615
Practice Address - Country:US
Practice Address - Phone:910-892-4248
Practice Address - Fax:910-893-4042
Is Sole Proprietor?:No
Enumeration Date:2013-05-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-00632208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2016-00632OtherLICENSE
NCFV5922910OtherDEA