Provider Demographics
NPI:1316498884
Name:APEX ALLERGY & IMMUNOLOGY, P.C.
Entity type:Organization
Organization Name:APEX ALLERGY & IMMUNOLOGY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR, PROVIDER RELATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:OOSTDYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-720-2739
Mailing Address - Street 1:534 WOODS LAKE RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2778
Mailing Address - Country:US
Mailing Address - Phone:864-720-2739
Mailing Address - Fax:864-720-2740
Practice Address - Street 1:534 WOODS LAKE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2778
Practice Address - Country:US
Practice Address - Phone:864-720-2739
Practice Address - Fax:864-720-2740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty