Provider Demographics
NPI:1932217189
Name:BREATHE BETTER ALLERGY, ASTHMA, AND SINUS P.C.
Entity Type:Organization
Organization Name:BREATHE BETTER ALLERGY, ASTHMA, AND SINUS P.C.
Other - Org Name:ATHENS ALLERGY & ASTHMA ASSOCIATES, P.C.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:BEEBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-561-2338
Mailing Address - Street 1:950 SOUTH ENOTA DRIVE
Mailing Address - Street 2:A
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501
Mailing Address - Country:US
Mailing Address - Phone:770-536-0470
Mailing Address - Fax:
Practice Address - Street 1:950 SOUTH ENOTA DRIVE
Practice Address - Street 2:A
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501
Practice Address - Country:US
Practice Address - Phone:770-536-0470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030006207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00353075HMedicaid
GA1760445852OtherINDIVIDUAL NPI
GA1760445852OtherINDIVIDUAL NPI
GA11BDMVDMedicare ID - Type Unspecified