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ATHENS PULMONARY AND ALLERGY P.C. NPI 1649337510


NPI Information

NPI: 1649337510
Provider Name: ATHENS PULMONARY AND ALLERGY, P.C.
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 11D0261768

Address:
3320 OLD JEFFERSON RD
BLDG 200 SUITE A
ATHENS, GA
ZIP 30607
Phone: (706) 549-5560
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ATHENS PULMONARY AND ALLERGY, P.C. is a pulmonary disease internal medicine in Athens, GA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. ATHENS PULMONARY AND ALLERGY, P.C. NPI is 1649337510. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3320 OLD JEFFERSON RD
BLDG 200 SUITE A
ATHENS, GA
ZIP 30607-400
Phone: (706) 549-5560
Fax: (706) 549-5828

The provider's authorized official is Wayne F Middendorf .
The authorized official title is President and has the following contact phone number (706) 549-5560.

The CLIA number assigned to this NPI record is 11D0261768 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 9/7/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP652MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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