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ALLERGIC DISEASE AND ASTHMA CENTER PA

Allergy

Greenville, South Carolina

Provider NPI: 1952302853

Organization Information:
Organization Name:  ALLERGIC DISEASE AND ASTHMA CENTER PA


Practice Location:
1202 E BUTLER RD  GREENVILLE, SC 29607 US
Tel: 864-627-3800  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
SC

Other Provider Identifiers:

IssuerNumberStateType
PA2247SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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