| Organization Name: | ALLERGY & ASTHMA CLINIC OF NORTHEAST GEORGIA |
| NPI Number: | 1821270992 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LESLIE MORRIS (OFFICE MANAGER) |
| Mailing Address: | 110 S Main St Hiawassee |
| State: | GA US |
| Postal Code: | 305463408 |
| Phone Number: | 7068964402 |
| Fax Number: | 7705324049 |
| NPI Enumeration Date: | 11/30/2007 |
| NPI Last Update Date: | 11/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |