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ALLERGYMD LLC NPI 1770268609


NPI Information

NPI: 1770268609
Provider Name: ALLERGYMD LLC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

Address:
150 E PONCE DE LEON AVE STE 150
DECATUR, GA
ZIP 30030
Phone: (678) 632-2360
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ALLERGYMD LLC is an allergy allergy immunology in Decatur, GA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ALLERGYMD LLC NPI is 1770268609. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 E PONCE DE LEON AVE STE 150
DECATUR, GA
ZIP 30030-566
Phone: (678) 632-2360

The provider's authorized official is Tricia Lee .
The authorized official title is Owner and has the following contact phone number (912) 596-1983.

The enumeration date for this NPI number is 6/19/2023 and was last updated on 7/26/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyYes

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: 5/5/2024

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