Provider Demographics
NPI:1053575373
Name:ALLERGY AND ASTHMA CONSULTANTS, P.C.
Entity type:Organization
Organization Name:ALLERGY AND ASTHMA CONSULTANTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-255-9286
Mailing Address - Street 1:5555 PEACHTREE DUNWOODY RD NE STE 325
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1712
Mailing Address - Country:US
Mailing Address - Phone:404-255-9286
Mailing Address - Fax:404-250-0740
Practice Address - Street 1:3275 MARKET PLACE BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041
Practice Address - Country:US
Practice Address - Phone:770-889-8636
Practice Address - Fax:770-844-7565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty