Healthcare Provider Details

I. General information

NPI: 1265658132
Provider Name (Legal Business Name): ALLERGY CENTER, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2395 HEMBY LN.
GREENVILLE NC
27834
US

IV. Provider business mailing address

2395 HEMBY LN.
GREENVILLE NC
27834
US

V. Phone/Fax

Practice location:
  • Phone: 252-321-8683
  • Fax: 252-329-8686
Mailing address:
  • Phone: 252-321-8683
  • Fax: 252-329-8686

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: MRS. CASSANDRA Z. MEHLHOP
Title or Position: CHIEF FINANCIAL OFFICER
Credential: B.S.
Phone: 252-321-8683