ALLERGY & IMMUNOLOGY CENTER PC NPI 1770863276

NPI Information

  • NPI: 1770863276
  • Provider Name: ALLERGY & IMMUNOLOGY CENTER PC
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Organization
  • Address: 1911 PALMYRA RD
    ALBANY, GA
    ZIP 31701
  • Phone: (229) 446-7227

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NPI Details

ALLERGY & IMMUNOLOGY CENTER PC is an allergy immunology in Albany, 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. ALLERGY & IMMUNOLOGY CENTER PC NPI is 1770863276. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1911 PALMYRA RD
ALBANY, GA
ZIP 31701-574
Phone: (229) 446-7227
Fax: (229) 420-4365

The provider's authorized official is Jose Theckedath .
The authorized official title is President/ceo and has the following contact phone number (229) 446-7227.

The enumeration date for this NPI number is 8/29/2011 and was last updated on 3/20/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & Immunology045992GEORGIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300034628AMEDICAIDGEORGIA

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: 11/21/2025

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