Organization
ALLERGY SINUS AND COUGH CENTER OF GEORGIA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUCHIR AGRAWAL M.D. (PRESIDENT)
(262) 327-0704
Entity
Organization
Contact information
Practice address
4000 SHAKERAG HL, SUITE 300, PEACHTREE CITY, GA 30269-4047
(262) 327-0704
(678) 669-2401
Mailing address
4000 SHAKERAG HL, SUITE 300, PEACHTREE CITY, GA 30269-4047
(262) 327-0704
(678) 669-2401
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
68876
GA
2080P0201X
Pediatric Allergy/Immunology Physician
68876
GA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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