| NPI | 1205919404 |
|---|---|
| Doing Business As | ALLERGY AND ENT OF GA |
| Entity Type | Organization |
| Authorized Contact | LARRY R JETER CEO 706-867-4311 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2011-06-30 |