Allergy, Asthma, & Sinsus Clinic

LBN: Allergy & Dermatology Associates Of Tifton Pc
Allergy, Asthma, & Sinsus Clinic is an health care organization with primary practice located at 820 Love Avenue Suite A, Tifton GA 31794. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Allergy & Dermatology Associates Of Tifton Pc can be contacted via phone (229) 382-3720, or through Dorminey, Henry Clayton via phone (229) 382-3720.

Contact Information

Primary practice address
820 Love Avenue Suite A Tifton GA 31794
Phone: (229) 382-3720
Fax: (229) 382-3722
Website:
Map and Directions
Authorized official contact:
Name: Dorminey, Henry Clayton Doctor of Medicine (MD)
Phone: (229) 382-3720

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 023352 Georgia

Profile Details

NPI number 1366621211
LBN Legal business name Allergy & Dermatology Associates Of Tifton Pc
DBA Doing business as Allergy, Asthma, & Sinsus Clinic
Authorized official Dorminey, Henry Clayton Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Jul 26th, 2013 - about 12 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 1366621211 NPPES
Georgia MEDICAID 000239731A

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