| NPI | 1255372041 |
|---|---|
| Doing Business As | AUGUSTA FAMILY ALLERGY & IMMUNOLOGY |
| Entity Type | Organization |
| Authorized Contact | VANITCHA R PINTAVORN Owner 706-650-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: GA 048291) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-07-11 |