Provider Demographics
NPI:1245205079
Name:ALLISON, SHEILA G (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:G
Last Name:ALLISON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6216 FAYETTEVILLE ROAD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713
Mailing Address - Country:US
Mailing Address - Phone:919-405-7000
Mailing Address - Fax:919-405-7006
Practice Address - Street 1:6216 FAYETTEVILLE ROAD
Practice Address - Street 2:SUITE 105
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713
Practice Address - Country:US
Practice Address - Phone:919-405-7000
Practice Address - Fax:919-405-7006
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700172207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D43648Medicare UPIN
NC2023203AMedicare ID - Type Unspecified