MEDICARE: ALL AMERICAN ALLERGY INC

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
1	174400000X	Specialist	9600348	NC

General Provider Information

NPI Number	:	1598774085
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL AMERICAN ALLERGY INC

Provider Business Mailing Address
First Line	:	1357 WALTER REED RD
Second Line	:	SUITE 201
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4415
Country	:	US
Telephone Number	:	910-486-6400
Fax Number	:	910-486-6413

Provider Business Practice Location Address
First Line	:	1357 WALTER REED RD
Second Line	:	SUITE 201
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28304-4415
Country	:	US
Telephone Number	:	910-486-6400
Fax Number	:	910-486-6413

Authorized Official
Title or Position	:	M.D.
Name	:	DR. HOWARD OAKS
Credential	:	M.D.
Telephone Number	:	910-486-6400

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	08/22/2020

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Directions to “ALL AMERICAN ALLERGY INC ” Practice Location

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