Provider Demographics
NPI:1992122667
Name:DYE, ALLISON GABRIELSON (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:GABRIELSON
Last Name:DYE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1891 HONEYSUCKLE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-4290
Mailing Address - Country:US
Mailing Address - Phone:334-794-6504
Mailing Address - Fax:334-793-4452
Practice Address - Street 1:1891 HONEYSUCKLE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-4290
Practice Address - Country:US
Practice Address - Phone:334-794-6504
Practice Address - Fax:334-793-4452
Is Sole Proprietor?:No
Enumeration Date:2014-03-19
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALPA-963363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical