NPI age
19 years
Enumerated 2007-01-23
Across 151 active allergy & immunology providers in Georgia.
5 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 13359926E | |
| 05 (GA) | 132359926D |
Solo or small practice. No other active providers share this practice address in NPPES.
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