Provider Demographics
NPI:1497105118
Name:COLONNA, ALISON HARPRING (MD)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:HARPRING
Last Name:COLONNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:LEIGH
Other - Last Name:HARPRING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1005 MAR WALT DR
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6707
Mailing Address - Country:US
Mailing Address - Phone:850-863-8203
Mailing Address - Fax:850-863-8113
Practice Address - Street 1:1005 MAR WALT DRIVE
Practice Address - Street 2:PEDIATRIC DEPARTMENT
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547-6707
Practice Address - Country:US
Practice Address - Phone:850-863-8203
Practice Address - Fax:850-863-8113
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME146355208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics