NPI age
19 years
Enumerated 2006-08-23
Across 151 active allergy & immunology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 173029301 | |
| 05 (TX) | 173029302 |
Solo or small practice. No other active providers share this practice address in NPPES.
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