Organization · Type 2 NPI
Southern Allergy and Medical Clinic, Inc.
Allergy Physician · New Tazewell, TN
NPI number
1417513177
Active
Practice location
109 Main St
New Tazewell, TN 37825-6635
Fax (423) 259-5706
Mailing address
PO Box 69
New Tazewell, TN 37824-0069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Physician Assistant | 363A00000X | None listed |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
About NPI 1417513177
Southern Allergy and Medical Clinic, Inc.'s National Provider Identifier is 1417513177, issued on May 17, 2019. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in New Tazewell, TN. The record was last updated on May 17, 2019.