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NPI Code Detail

MEDICARE: ALABAMA ASTHMA, ALLERGY & IMMUNOLOGY CENTER, P.C.

MEDICARE: ALABAMA ASTHMA, ALLERGY & IMMUNOLOGY CENTER, P.C.
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
1207K00000XAllergy & Immunology Physician11996AL

General Provider Information

NPI Number : 1396947644
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALABAMA ASTHMA, ALLERGY & IMMUNOLOGY CENTER, P.C.
Provider Business Mailing Address
First Line : 4030 PEPPERWOOD CIR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-6499
Country : US
Telephone Number : 256-539-6536
Fax Number :
Provider Business Practice Location Address
First Line : 4030 PEPPERWOOD CIR SW
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35801-6499
Country : US
Telephone Number : 256-539-6536
Fax Number :
Authorized Official
Title or Position : CHIEF OF STAFF
Name : TAYLOR KNUTSON
Credential :
Telephone Number : 361-244-3468
Provider Enumeration Date : 05/31/2007
Last Update Date : 01/13/2026

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