Live Oak Allergy, Asthma & Immunology, Llc

LBN: Live Oak Allergy, Asthma & Immunology, Llc
Live Oak Allergy, Asthma & Immunology, Llc is an health care organization with primary practice located at 143 Canal St Suite 200, Pooler GA 31322-6007. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Live Oak Allergy, Asthma & Immunology, Llc can be contacted via phone (615) 477-2226, or through Henson, Mitchell Dewayne via phone (615) 477-4321.

Contact Information

Primary practice address
143 Canal St Suite 200 Pooler GA 31322-6007
Phone: (615) 477-2226
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henson, Mitchell Dewayne
Phone: (615) 477-4321

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 073306 Georgia

Profile Details

NPI number 1689066649
LBN Legal business name Live Oak Allergy, Asthma & Immunology, Llc
DBA Doing business as
Authorized official Henson, Mitchell Dewayne
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2015
Last updated Feb 28th, 2015 - about 11 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.

Request for update

Popular Providers