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Live Oak Allergy, Asthma & Immunology, Llc
Medical Specialty Clinic/Center in Pooler, Georgia
NPI 1689066649

Live Oak Allergy, Asthma & Immunology, Llc is a Medical Specialty Clinic/Center based in Pooler, GA and is specialized in Medical Specialty. Live Oak Allergy, Asthma & Immunology, Llc practices in Pooler, GA. The NPI Number for Live Oak Allergy, Asthma & Immunology, Llc is 1689066649 and holds a License No. 073306 (Georgia).

The current practice location address for Live Oak Allergy, Asthma & Immunology, Llc is 143 Canal St, Pooler, GA and can be reached out via phone at 615-477-2226.

Location: 143 Canal St, Pooler, GA, 31322-6007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689066649
Provider Name
Live Oak Allergy, Asthma & Immunology, Llc
Credential
Provider Entity Type
Organization
Address
143 Canal St, Pooler, GA, 31322-6007
Phone Number
615-477-2226
Fax Number
Provider Enumeration Date
02/28/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
143 Canal St
City
Pooler
State
Georgia
Zip
31322-6007
Phone Number
615-477-2226
Fax Number
person
Provider Business Mailing Address Details
Address
143 Canal St
City
Pooler
State
Georgia
Zip
31322-6007
Phone Number
615-477-2226
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
073306 (Georgia)
Definition
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).
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