Organization
SEVIL E.H ALLERGY LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN TREMAYNE SIDNEY MR. (PRESIDENT)
(404) 550-1605
Entity
Organization
Contact information
Practice address
169 BRANDON RIDGE COURT, RIVERDALE, GA 30274-7109
(404) 550-1605
Mailing address
169 BRANDON RIDGE CT, RIVERDALE, GA 30274-7109
(404) 550-1605
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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