Allergy & Asthma Clinic Of Macon

LBN: Allergy & Asthma Clinic Of Macon
Allergy & Asthma Clinic Of Macon is an health care organization with primary practice located at 2076 Ingleside Ave , Macon GA 31204-2028. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Allergy & Asthma Clinic Of Macon can be contacted via phone (478) 743-9376, or through Plaxico, David T via phone (478) 743-9376.

Contact Information

Primary practice address
2076 Ingleside Ave Macon GA 31204-2028
Phone: (478) 743-9376
Fax: (478) 743-4670
Website:
Map and Directions
Authorized official contact:
Name: Plaxico, David T Doctor of Medicine (MD)
Phone: (478) 743-9376

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 022621 Georgia

Profile Details

NPI number 1780865477
LBN Legal business name Allergy & Asthma Clinic Of Macon
DBA Doing business as
Authorized official Plaxico, David T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2007
Last updated May 21st, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780865477 NPPES
Georgia MEDICAID 000270905A
Georgia Other D30479
Georgia Other $$$$$$$$$
Georgia Other 010001168

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