MEDICARE: ALLERGY ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1528220852
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	6700 BAUM DR
Second Line	:	SUITE ONE
City	:	KNOXVILLE
State	:	TN
Zip	:	37919-7344
Country	:	US
Telephone Number	:	865-584-5727
Fax Number	:	865-450-9904

Provider Business Practice Location Address
First Line	:	403 PRINCETON RD
Second Line	:	SUITE 9
City	:	JOHNSON CITY
State	:	TN
Zip	:	37601-2056
Country	:	US
Telephone Number	:	865-584-8588
Fax Number	:	865-584-3364

Authorized Official
Title or Position	:	AR ADMINISTRATOR
Name	:	MRS. REBECCA A CONNER
Credential	:
Telephone Number	:	865-584-2411

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	06/27/2008

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