Provider Demographics
NPI:1376626762
Name:THE ALLERGY AND ASTHMA CENTER, P.C.
Entity Type:Organization
Organization Name:THE ALLERGY AND ASTHMA CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-895-6500
Mailing Address - Street 1:1370 GATEWAY BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2589
Mailing Address - Country:US
Mailing Address - Phone:615-895-6500
Mailing Address - Fax:615-895-1741
Practice Address - Street 1:1370 GATEWAY BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2589
Practice Address - Country:US
Practice Address - Phone:615-895-6500
Practice Address - Fax:615-895-1741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3721539Medicare PIN