Provider Demographics
NPI:1518348390
Name:ALLERGY ASSOCIATES, PA
Entity Type:Organization
Organization Name:ALLERGY ASSOCIATES, PA
Other - Org Name:THE ALLERGY ASTHMA AND SINUS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:OVERHOLT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:865-584-5727
Mailing Address - Street 1:PO BOX 51770
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37950-1770
Mailing Address - Country:US
Mailing Address - Phone:865-584-2920
Mailing Address - Fax:865-584-6384
Practice Address - Street 1:100 W 4TH ST
Practice Address - Street 2:SUITE 250
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-2448
Practice Address - Country:US
Practice Address - Phone:931-528-5373
Practice Address - Fax:931-840-3543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4738332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies