Allergy & Immunology Center Pc

LBN: Allergy & Immunology Center Pc
Allergy & Immunology Center Pc is an health care organization with primary practice located at 1911 Palmyra Rd , Albany GA 31701-1574. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. Allergy & Immunology Center Pc can be contacted via phone (229) 446-7227, or through Theckedath, Jose via phone (229) 446-7227.

Contact Information

Primary practice address
1911 Palmyra Rd Albany GA 31701-1574
Phone: (229) 446-7227
Fax: (229) 420-4365
Website:
Map and Directions
Authorized official contact:
Name: Theckedath, Jose Doctor of Medicine (MD)
Phone: (229) 446-7227

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 045992 Georgia

Profile Details

NPI number 1770863276
LBN Legal business name Allergy & Immunology Center Pc
DBA Doing business as
Authorized official Theckedath, Jose Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2011
Last updated Mar 20th, 2013 - about 11 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 1770863276 NPPES
Georgia MEDICAID 300034628A

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