PROVIDENCE HEALTHCARE is a clinical and laboratory immunology allergy immunology in Atlanta, GA. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management.
Source: National Uniform Claim Committee, 2022
Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. PROVIDENCE HEALTHCARE NPI is 1699895961. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
4646 N SHALLOWFORD RD
ATLANTA, GA
ZIP 30338-304
Phone: (770) 676-6000
Fax: (770) 392-9805
The provider's authorized official is Mary Leach .
The authorized official title is Office Manager and has the following contact phone number (770) 676-6000.
The enumeration date for this NPI number is 3/30/2007 and was last updated on 7/21/2022.