Organization
PREMIER ALLERGY & ASTHMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA STEIN APRN, BC, FNP (OWNER)
(404) 402-0220
Entity
Organization
Contact information
Practice address
5109 HIGHWAY 278 NE STE D, SUITE D, COVINGTON, GA 30014-2608
(404) 402-0220
Mailing address
6135 RIVER SHORE PKWY, SANDY SPRINGS, GA 30328-3704
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
PRO1106
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926197O
—
GA
Enumeration date
12/16/2013
Last updated
12/16/2013
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