Organization · Type 2 NPI

Providence Healthcare

Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Atlanta, GA

NPI number 1699895961 Active

Practice location

4646 N Shallowford Rd
Atlanta, GA 30338-6304

Fax (770) 392-9805

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XCHIR005530 (GA)
Acupuncturist 171100000X000186 (FL)
Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary 207KI0005XNone listed

Clinical & Laboratory Immunology (Allergy & Immunology) Physician: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..

29 other providers at this address

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About NPI 1699895961

Providence Healthcare's National Provider Identifier is 1699895961, issued on Mar 30, 2007. The primary taxonomy on file is Clinical & Laboratory Immunology (Allergy & Immunology) Physician (207KI0005X), and the practice location is in Atlanta, GA. The record was last updated on Jul 21, 2022.