Provider Demographics
NPI:1861628604
Name:ADVANCED ALLERGY AND ASTHMA, LLC
Entity Type:Organization
Organization Name:ADVANCED ALLERGY AND ASTHMA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:RAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-261-2222
Mailing Address - Street 1:5401 NETHERBY RD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-7363
Mailing Address - Country:US
Mailing Address - Phone:843-261-2222
Mailing Address - Fax:
Practice Address - Street 1:5401 NETHERBY RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29420-7363
Practice Address - Country:US
Practice Address - Phone:843-261-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty