Provider Demographics
NPI:1487635710
Name:ALL SEASONS ALLERGY & ASTHMA ASSOC, P.C.
Entity Type:Organization
Organization Name:ALL SEASONS ALLERGY & ASTHMA ASSOC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRUNETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-791-9399
Mailing Address - Street 1:100 COVEY DR
Mailing Address - Street 2:STE 210
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5665
Mailing Address - Country:US
Mailing Address - Phone:615-791-9399
Mailing Address - Fax:615-791-9206
Practice Address - Street 1:100 COVEY DR
Practice Address - Street 2:STE 210
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5665
Practice Address - Country:US
Practice Address - Phone:615-791-9399
Practice Address - Fax:615-791-9206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3374067Medicare ID - Type Unspecified