Organization · Type 2 NPI
Eleven 11 Medical Management, LLC
Allergy Physician · Hapeville, GA
NPI number
1356616338
Active
Practice location
438 Henry Ford II Ave
Hapeville, GA 30354-1622
Fax (678) 235-2403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | None listed |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1356616338
Eleven 11 Medical Management, LLC's National Provider Identifier is 1356616338, issued on Mar 9, 2012. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Hapeville, GA. The record was last updated on Mar 9, 2012.