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PEACHTREE ALLERGY AND ASTHMA CLINIC PC NPI 1811035652


NPI Information

NPI: 1811035652
Provider Name: PEACHTREE ALLERGY AND ASTHMA CLINIC PC
Classification: Allergy & Immunology - 207KA0200X
Entity Type: Organization

Specialization: Allergy

CLIA Number: 11D2157987

Address:
1800 PEACHTREE ST NW
SUITE 720
ATLANTA, GA
ZIP 30309
Phone: (404) 351-7520
Get Directions

PEACHTREE ALLERGY AND ASTHMA CLINIC PC is an allergy allergy immunology in Atlanta, GA. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee PEACHTREE ALLERGY AND ASTHMA CLINIC PC NPI is 1811035652. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1800 PEACHTREE ST NW
SUITE 720
ATLANTA, GA
ZIP 30309-519
Phone: (404) 351-7520
Fax: (404) 355-2048

The provider's authorized official is Sherry L Osborne .
The authorized official title is Office Manager and has the following contact phone number (404) 351-7520.

The CLIA number assigned to this NPI record is 11D2157987 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 1/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1252782495AMEDICARE ID-TYPE UNSPECIFIED
2D31367MEDICARE UPIN
303BDBQRMEDICARE ID-TYPE UNSPECIFIED
403BDBSKMEDICARE ID-TYPE UNSPECIFIED
5D40428MEDICARE UPIN
603BDBDVMEDICARE ID-TYPE UNSPECIFIED
7H11551MEDICARE UPIN
8H37976MEDICARE UPIN
903BDBRNMEDICARE ID-TYPE UNSPECIFIED
10F56951MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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