Organization
ALLERGY CONSULTING GROUP, LLC
Active
Other names
ACG, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK REZNIK (MANAGER)
(770) 652-3667
Entity
Organization
Contact information
Practice address
5752B BUFORD HWY NE, DORAVILLE, GA 30340-1207
(770) 652-3667
(770) 573-3611
Mailing address
PO BOX 501741, ATLANTA, GA 31150-1741
(770) 652-3667
(770) 573-3611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
207K00000X
Allergy & Immunology Physician
—
—
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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