National Provider Identifier Database

LIVE OAK ALLERGY ASTHMA IMMUNOLOGY LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

LIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC
143 CANAL ST
SUITE 200
POOLER, GA31322-6007
Phone: 615-477-2226
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for LIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC

NPI Number 1689066649
Legal business name
LBN
LIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC
Authorized official MITCHELL HENSON - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/28/2015
Last updated 02/28/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 073306

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC

There are currently no reviews for LIVE OAK ALLERGY, ASTHMA & IMMUNOLOGY, LLC


NPIdb - Home
v2.201