Provider Demographics
NPI:1508020900
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 1:3400 MCCLURE BRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-6675
Practice Address - Country:US
Practice Address - Phone:770-813-0254
Practice Address - Fax:770-813-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty