NPI | 1598796195 |
---|---|
Former Legal Business Name | ATLANTA ALLERGY & ASTHMA, PA |
Doing Business As | ATLANTA ALLERGY & ASTHMA CLINIC, PA |
Former Legal Business Name | ATLANTA ALLERGY & ASTHMA CLINIC PC |
Entity Type | Organization |
Authorized Contact | LAQUITA OVERSTREET Credentialing Coordinator 770-952-8612 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-11-05 |