LIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC is a medical specialty clinic center in Pooler, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC NPI is 1689066649. The provider is registered as an organization entity type.
The provider's business location address is:
143 CANAL ST
SUITE 200
POOLER, GA
ZIP 31322-007
Phone: (615) 477-2226
The provider's authorized official is Mitchell Dewayne Henson .
The authorized official title is Practice Manager and has the following contact phone number (615) 477-4321.
The enumeration date for this NPI number is 2/28/2015 and was last updated on 2/28/2015.