Healthcare Provider Details

I. General information

NPI: 1487625349
Provider Name (Legal Business Name): ALLERGY AND ASTHMA CONSULTANTS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5555 PEACHTREE DUNWOODY RD NE SUITE 325
ATLANTA GA
30342-1703
US

IV. Provider business mailing address

5555 PEACHTREE DUNWOODY RD NE SUITE 325
ATLANTA GA
30342-1703
US

V. Phone/Fax

Practice location:
  • Phone: 404-255-9286
  • Fax: 404-250-0740
Mailing address:
  • Phone: 404-255-9286
  • Fax: 404-250-0740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL S RABINOWITZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 404-255-9286