Healthcare Provider Details

I. General information

NPI: 1932217189
Provider Name (Legal Business Name): BREATHE BETTER ALLERGY, ASTHMA, AND SINUS P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 SOUTH ENOTA DRIVE A
GAINESVILLE GA
30501
US

IV. Provider business mailing address

950 SOUTH ENOTA DRIVE A
GAINESVILLE GA
30501
US

V. Phone/Fax

Practice location:
  • Phone: 770-536-0470
  • Fax:
Mailing address:
  • Phone: 770-536-0470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number030006
License Number StateGA

VIII. Authorized Official

Name: DR. RONALD GENE BEEBE
Title or Position: OWNER
Credential: MD
Phone: 770-561-2338