Organization · Type 2 NPI
Mold Clinics of America
Clinical & Laboratory Immunology (Internal Medicine) Physician · Norcross, GA
NPI number
1942477989
Active
Practice location
6063 Peachtree Pkwy, Suite 203 B
Norcross, GA 30092-3303
Fax (770) 209-9302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical & Laboratory Immunology (Internal Medicine) Physician Primary | 207RI0001X | MD123445 (GA) |
Clinical & Laboratory Immunology (Internal Medicine) Physician: An internal medicine physician who specializes in clinical and laboratory immunology disease management.
3 other providers at this address
About NPI 1942477989
Mold Clinics of America's National Provider Identifier is 1942477989, issued on May 9, 2008. The primary taxonomy on file is Clinical & Laboratory Immunology (Internal Medicine) Physician (207RI0001X), and the practice location is in Norcross, GA. The record was last updated on May 9, 2008.