AUGUSTA ALLERGY AND ASTHMA LLC NPI 1003187071

NPI Information

  • NPI: 1003187071
  • Provider Name: AUGUSTA ALLERGY AND ASTHMA, LLC
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Organization
  • Address: 4350 TOWNE CENTRE DR STE 1500
    EVANS, GA
    ZIP 30809
  • Phone: (706) 421-1700

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NPI Details

AUGUSTA ALLERGY AND ASTHMA, LLC is an allergy immunology in Evans, GA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. AUGUSTA ALLERGY AND ASTHMA, LLC NPI is 1003187071. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4350 TOWNE CENTRE DR STE 1500
EVANS, GA
ZIP 30809-332
Phone: (706) 421-1700
Fax: (706) 396-0618

The provider's authorized official is Tracie Broome .
The authorized official title is Office Coordinator and has the following contact phone number (706) 421-1700.

The enumeration date for this NPI number is 1/23/2012 and was last updated on 3/5/2024.

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
1207K00000XAllergy & Immunology045041GEORGIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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