Augusta Family Allergy & Immunology
LBN: Vanitcha R Pintavorn
Augusta Family Allergy & Immunology is an health care organization with primary practice located at 418 Town Park Blvd Ste 1A, Evans GA 30809-3090. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty.
Vanitcha R Pintavorn can be contacted via phone (706) 650-1662, or through Pintavorn, Vanitcha R via phone (706) 650-1662.
Contact Information
Primary practice address
418 Town Park Blvd Ste 1A
Evans GA 30809-3090
Phone: (706) 650-1662
Fax: (706) 854-2131
Website:
Authorized official contact:
Name: Pintavorn, Vanitcha R Doctor of Medicine (MD)
Phone: (706) 650-1662
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 048291 | Georgia |
Profile Details
NPI number | 1255372041 |
---|---|
LBN Legal business name | Vanitcha R Pintavorn |
DBA Doing business as | Augusta Family Allergy & Immunology |
Authorized official | Pintavorn, Vanitcha R Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 10th, 2006 |
Last updated | Jul 11th, 2008 - about 16 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 | 1255372041 | NPPES |
South Carolina | MEDICAID | G48291 | |
South Carolina | Other | 52837117 | |
South Carolina | MEDICAID | 000894154D |
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