Organization
CENTER FOR ALLERGY AND ASTHMA SOUTHERN CRESCENT
Active
Parent organization
CENTER FOR ALLERGY & ASTHMA OF GEORGIA PC
Other names
Center for Allergy and Asthma Southern Crescent
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTER FOR ALLERGY & ASTHMA OF GEORGIA PC
Authorized official
EUGENE HURWITZ MD (MD)
(770) 459-0620
Entity
Organization
Contact information
Practice address
1975 HIGHWAY 54 W STE 255, PEACHTREE CITY, GA 30269-4794
(770) 459-0620
(770) 456-7604
Mailing address
690 DALLAS HWY STE 101, VILLA RICA, GA 30180-1262
(770) 459-0620
(770) 456-7604
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336364793
NPI
GA
01
—
1568563914
NPI
GA
Enumeration date
04/27/2020
Last updated
04/27/2020
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