The Southeast Asthma And Allergy Center Pc

LBN: The Southeast Asthma And Allergy Center Pc
The Southeast Asthma And Allergy Center Pc is an health care organization with primary practice located at 2804 Remington Green Cir Ste 1 , Tallahassee FL 32308-8707. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. The Southeast Asthma And Allergy Center Pc can be contacted via phone (850) 656-6269, or through Malone, Randolph Augustus via phone (850) 656-6269.

Contact Information

Primary practice address
2804 Remington Green Cir Ste 1 Tallahassee FL 32308-8707
Fax: (850) 877-5270
Website:
Authorized official contact:
Name: Malone, Randolph Augustus Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 0034412 Georgia

Profile Details

NPI number 1295012631
LBN Legal business name The Southeast Asthma And Allergy Center Pc
DBA Doing business as
Authorized official Malone, Randolph Augustus Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2011
Last updated Aug 31st, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295012631 NPPES
Georgia MEDICAID 000465671A

Popular Providers