Providence Healthcare

Organization Active
NPI 1699895961
Clinical & Laboratory Immunology (Allergy & Immunology) Physician Atlanta, GA

Providence Healthcare holds NPI 1699895961, with a primary taxonomy of clinical & laboratory immunology (allergy & immunology) physician and a practice location in Atlanta, GA. The number was issued on March 30, 2007 and the NPPES record was last updated on July 21, 2022. The record lists 3 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary 207KI0005X (GA)
Chiropractor 111N00000X CHIR005530 (GA)
Acupuncturist 171100000X 000186 (FL)

Practice location

4646 N Shallowford Rd
Atlanta, GA 30338-6304
Phone: (770) 676-6000

Local context

Active NPPES records list 3 providers with clinical & laboratory immunology (allergy & immunology) physician as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 4 in Georgia and 130 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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