Organization
AUGUSTA ALLERGY AND ASTHMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE BROOME (OFFICE COORDINATOR)
(706) 421-1700
Entity
Organization
Contact information
Practice address
4350 TOWNE CENTRE DR STE 1500, EVANS, GA 30809-3332
(706) 421-1700
(706) 396-0618
Mailing address
4350 TOWNE CENTRE DR STE 1500, EVANS, GA 30809-3332
(706) 421-1700
(706) 396-0618
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
045041
GA
Other
Enumeration date
01/23/2012
Last updated
03/05/2024
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