Organization
ALLERGY & ASTHMA AFFILIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD TRENT ELLENBURG M.D. (MANAGING PARTNER)
(865) 525-2640
Entity
Organization
Contact information
Practice address
1060 OAK RIDGE TURNPIKE, OAK RIDGE, TN 37830-6439
(865) 525-2640
(865) 525-9536
Mailing address
2121 HIGHLAND AVE, KNOXVILLE, TN 37916-1111
(865) 525-2640
(865) 525-9536
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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