Provider Demographics
NPI:1508537754
Name:ALLERGYONE, PLLC
Entity Type:Organization
Organization Name:ALLERGYONE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTH OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREENBUAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-512-8258
Mailing Address - Street 1:PO BOX 381662
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38183-1662
Mailing Address - Country:US
Mailing Address - Phone:901-512-8258
Mailing Address - Fax:901-252-0055
Practice Address - Street 1:995 S YATES RD STE 3
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-0882
Practice Address - Country:US
Practice Address - Phone:901-512-8258
Practice Address - Fax:901-252-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Single Specialty