=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770319048
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALLERGY PARTNERS, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2024
-----------------------------------------------------
Last Update Date | 09/12/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8233 OLD COURTHOUSE RD STE 230
-----------------------------------------------------
City | VIENNA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22182-3816
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-404-4600
-----------------------------------------------------
Fax | 703-288-0603
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 603725
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28260-3725
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-575-2625
-----------------------------------------------------
Fax | 828-350-2174
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER/PRESIDENT
-----------------------------------------------------
Name | DAVID ALLEN BROWN
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 828-277-1300
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207K00000X
-----------------------------------------------------
Taxonomy Name | Allergy & Immunology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------