NPI 1003472036

Annual Wellness Centers of America

Organisation Allergy & Immunology Physician Lawrenceville, GA

Practice location

Address: 753 Old Norcross Rd STE B, Lawrenceville, GA 30046-4312
Phone: (770) 545-8888
Mailing address: 5942 Watersdown Way, Flowery Branch, GA 30542-3221

Authorised official

Name: Tyler Penrod
Title: Biller
Phone: (832) 289-9225

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X

Other Allergy & Immunology providers in Georgia →

Registry record

NPI: 1003472036
Entity type: Organization
NPI issued: 15 May 2019
Record last updated: 15 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.