NPI | 1669986709 |
---|---|
Doing Business As | CHACKO ALLERGY |
Entity Type | Organization |
Authorized Contact | USHA MARIAM CHACKO Practice Manager 678-668-4688 |
Organization Subpart ? | No |
Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
Enumeration Date | 2017-11-28 |
Last Update Date | 2025-08-25 |