Allergy & Asthma Clinic Of Macon
Specialist in Macon, GA. Organization (NPI-2).
NPI number1780865477
StatusActive
Last updated in NPPESMay 21, 2020
Details
- NPI
- 1780865477
- Entity type
- Organization (NPI-2)
- Legal business name
- Allergy & Asthma Clinic Of Macon
- Organization subpart
- No
- Enumeration date
- Nov 21, 2007
- Last updated
- May 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 022621 | GA | Yes |
Practice location
2076 Ingleside AveMacon, GA 31204-2028
Phone 478-743-9376 · Fax 478-743-4670
Mailing address
2076 Ingleside AveMacon, GA 31204-2028
Phone 478-743-9376 · Fax 478-743-4670
Authorized official
David T Plaxico
Owner
4787439376
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All 67 Specialist providers in Macon · All 5,121 providers in Macon
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