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Allergy & Asthma Clinic Of Macon
Specialist in Macon, Georgia
NPI 1780865477

Allergy & Asthma Clinic Of Macon is a Specialist based in Macon, GA. Allergy & Asthma Clinic Of Macon practices in Macon, GA. The NPI Number for Allergy & Asthma Clinic Of Macon is 1780865477 and holds a License No. 022621 (Georgia).

The current practice location address for Allergy & Asthma Clinic Of Macon is 2076 Ingleside Ave, Macon, GA and can be reached out via phone at 478-743-9376 and via fax at 478-743-4670.

Location: 2076 Ingleside Ave, Macon, GA, 31204-2028
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780865477
Provider Name
Allergy & Asthma Clinic Of Macon
Credential
Provider Entity Type
Organization
Address
2076 Ingleside Ave, Macon, GA, 31204-2028
Phone Number
478-743-9376
Fax Number
478-743-4670
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000270905A 05 GA
D30479 01 GA UPIN
$$$$$$$$$ 01 GA SOCIAL SECURITY NUMBER
010001168 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2076 Ingleside Ave
City
Macon
State
Georgia
Zip
31204-2028
Phone Number
478-743-9376
Fax Number
478-743-4670
person
Provider Business Mailing Address Details
Address
2076 Ingleside Ave
City
Macon
State
Georgia
Zip
31204-2028
Phone Number
478-743-9376
Fax Number
478-743-4670
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
022621 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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