Provider Demographics
NPI:1043645252
Name:PARDUE, ALISON STOERI (MS, AA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:STOERI
Last Name:PARDUE
Suffix:
Gender:F
Credentials:MS, AA-C
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Mailing Address - Street 1:1635 OLD HIGHWAY 41 NW STE 112-328
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30152-4480
Mailing Address - Country:US
Mailing Address - Phone:404-218-2879
Mailing Address - Fax:
Practice Address - Street 1:1968 PEACHTREE RD NW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1281
Practice Address - Country:US
Practice Address - Phone:678-216-0771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
367H00000X
GA1626367H00000X
GA6943367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant