NPI 1023352069

Advanced Allergy INC

Organisation Allergy & Immunology Physician Atlanta, GA

Practice location

Address: 5512 Glenridge Dr NE Unit a, Atlanta, GA 30342-7213
Phone: (404) 983-2034

Authorised official

Name: Maziar Rezvani
Title: Owner
Phone: (404) 983-2034

Registered specialties

Allergy & Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 053937 (GA)

Other Allergy & Immunology providers in Georgia →

Registry record

NPI: 1023352069
Entity type: Organization
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

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.