Provider Demographics
NPI:1760581284
Name:KEY, ALISON (PAAA)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:KEY
Suffix:
Gender:F
Credentials:PAAA
Other - Prefix:MISS
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:DECHNIK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:115 EDENTON ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4442
Mailing Address - Country:US
Mailing Address - Phone:770-487-1128
Mailing Address - Fax:
Practice Address - Street 1:115 EDENTON ESTATES DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4442
Practice Address - Country:US
Practice Address - Phone:770-487-1128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN167447367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN167447OtherSTATE LICENSE