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ALLERGY & DERMATOLOGY ASSOCIATES OF TIFTON PC NPI 1366621211


NPI Information

NPI: 1366621211
Provider Name: ALLERGY & DERMATOLOGY ASSOCIATES OF TIFTON PC

Doing Business As: ALLERGY, ASTHMA, & SINSUS CLINIC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
820 LOVE AVENUE
SUITE A
TIFTON, GA
ZIP 31794
Phone: (229) 382-3720
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ALLERGY & DERMATOLOGY ASSOCIATES OF TIFTON PC is a specialist in Tifton, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALLERGY & DERMATOLOGY ASSOCIATES OF TIFTON PC NPI is 1366621211. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Allergy, Asthma, & Sinsus Clinic.

The provider's business location address is:

820 LOVE AVENUE
SUITE A
TIFTON, GA
ZIP 31794
Phone: (229) 382-3720
Fax: (229) 382-3722

The provider's authorized official is Henry Clayton Dorminey .
The authorized official title is Owner and has the following contact phone number (229) 382-3720.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 7/26/2013.


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
1174400000XSpecialist023352GEORGIAYes

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
1E54853MEDICARE UPINGEORGIA
2000239731AMEDICAIDGEORGIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.