Provider Demographics
NPI:1821567371
Name:BREATHE BETTER ALLERGY ASTHMA & SINUS CENTER, INC
Entity Type:Organization
Organization Name:BREATHE BETTER ALLERGY ASTHMA & SINUS CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-202-6842
Mailing Address - Street 1:950 S ENOTA DR NE STE A
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2439
Mailing Address - Country:US
Mailing Address - Phone:770-536-0470
Mailing Address - Fax:770-536-3031
Practice Address - Street 1:950 S ENOTA DR NE STE A
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2439
Practice Address - Country:US
Practice Address - Phone:770-536-0470
Practice Address - Fax:770-536-3031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-14
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000353075MMedicaid