Provider Demographics
NPI:1699320267
Name:ALLERGY ASSOCIATES PA
Entity type:Organization
Organization Name:ALLERGY ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE DIRECTOR, A/R ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CONNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-584-2920
Mailing Address - Street 1:6701 BAUM DR STE 140
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-7361
Mailing Address - Country:US
Mailing Address - Phone:865-584-5727
Mailing Address - Fax:
Practice Address - Street 1:801 N WEISGARBER RD STE 200
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2707
Practice Address - Country:US
Practice Address - Phone:866-231-0701
Practice Address - Fax:865-584-0962
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLERGY ASSOCIATES PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site