Valdosta Allergy, Asthma, & Immunology, Pc
LBN: Valdosta Allergy, Asthma, & Immunology, Pc
Valdosta Allergy, Asthma, & Immunology, Pc is an health care organization with primary practice located at 3334 Greystone Way , Valdosta GA 31605-1096. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Allergy is the primary health care specialty.
Valdosta Allergy, Asthma, & Immunology, Pc can be contacted via phone (229) 247-1667, or through Guarderas, Juan C via phone (229) 247-1667.
Contact Information
Primary practice address
3334 Greystone Way
Valdosta GA 31605-1096
Phone: (229) 247-1667
Fax: (229) 245-7661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | ||
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X |
Profile Details
| NPI number | 1235865627 |
|---|---|
| LBN Legal business name | Valdosta Allergy, Asthma, & Immunology, Pc |
| DBA Doing business as | |
| Authorized official | Guarderas, Juan C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 27th, 2022 |
| Last updated | Aug 11th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235865627 | NPPES |
| Georgia | MEDICAID | 000892966F |
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