Organization
ALLERGY ASTHMA IMMUNOLOGY CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE A BLACK (ADMINISTRATOR)
(901) 757-6100
Entity
Organization
Contact information
Practice address
6401 POPLAR AVE STE 300, MEMPHIS, TN 38119-4810
(901) 757-6100
(901) 757-6109
Mailing address
6139 CHAPELLE CIR W, MEMPHIS, TN 38120-4062
(901) 757-6100
(901) 757-6109
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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