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NPI Profile for PROVIDENCE HEALTHCARE in ATLANTA, GA.
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical & Laboratory Immunology |
207KI0005X | 03 | Physician/Allergy/ Immunology | |
Acupuncturist |
171100000X | |||
Chiropractor |
111N00000X | 35 | Chiropractic |
| NPI Number | 1699895961 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/30/2007 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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PROVIDENCE HEALTHCARE
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PROVIDENCE HEALTHCARE