Dr Raphael A Buckle

LBN: Allergy & Asthma Associates Llc
Dr Raphael A Buckle is an health care organization with primary practice located at 3104 Creekside Village Dr Nw Suite 201, Kennesaw GA 30144-2324. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Allergy & Immunology is the primary health care specialty. Allergy & Asthma Associates Llc can be contacted via phone (770) 529-0460, or through Buckle, Lena via phone (770) 529-0460.

Contact Information

Primary practice address
3104 Creekside Village Dr Nw Suite 201 Kennesaw GA 30144-2324
Phone: (770) 529-0460
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buckle, Lena
Phone: (770) 529-0460

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 56408 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 56408 Georgia

Profile Details

NPI number 1184881229
LBN Legal business name Allergy & Asthma Associates Llc
DBA Doing business as Dr Raphael A Buckle
Authorized official Buckle, Lena
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2008
Last updated May 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184881229 NPPES
Georgia Other GRP7462 MEDICARE LEGACY NUMBER
Georgia Other 1700867074 MEDICARE LEGACY NUMBER
Georgia MEDICAID 262717777A MEDICARE LEGACY NUMBER

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