Covenant Family Allergy, Pc in North Augusta - Allergy & Immunology
Covenant Family Allergy, Pc - NPI 1205002888
Covenant Family Allergy, Pc is a Allergy & Immunology in North Augusta, South Carolina. Covenant Family Allergy, Pc practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Covenant Family Allergy, Pc is 1205002888. The last update date is 2013-04-18.
Covenant Family Allergy, Pc's current location address is 616 Edgefield Rd, North Augusta, South Carolina. You can contact this provider via phone number 8032797666 and fax number 8032790708. The mailing address for Covenant Family Allergy, Pc is 616 Edgefield Rd, North Augusta, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant Family Allergy, Pc |
|---|---|
| Address | 616 Edgefield Rd, North Augusta, South Carolina |
| Phone Number | 8032797666 |
| Fax Number | 8032790708 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Clark T Matthew |
| Credentials | M.D. |
| Telephone Number | 8034418648 |
NPI Number Detail
| NPI Number | 1205002888 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2013-04-18 |
Provider Mailing Address Detail
| Address | 616 Edgefield Rd |
|---|---|
| City | North Augusta |
| State | South Carolina (SC) |
| Post Code | 298411938 |
| Phone Number | 8032797666 |
| Fax Number | 8032790708 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy & Immunology |
|---|---|
| Taxonomy | 207K00000X |
| Licence No | 28227 |
|
Definition: An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28227 | SC | STATE MEDICAL LICENSE | |
| 57156 | GA | STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Covenant Family Allergy, Pc by the Centers for Medicare & Medicaid Services?
The Covenant Family Allergy, Pc has been issued the NPI (National Provider Identifier) 1205002888 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Covenant Family Allergy, Pc's facilities are situated?
The facilities of Covenant Family Allergy, Pc are physically located at the following address: 616 Edgefield Rd, North Augusta, SC, 298411938.
What is Covenant Family Allergy, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Covenant Family Allergy, Pc's area of specialization is Allergy & Immunology, and the corresponding taxonomy code that categorizes this field of practice is 207K00000X.
On what date did the Covenant Family Allergy, Pc receive the assignment of its 1205002888 from the Centers for Medicare & Medicaid Services?
The Covenant Family Allergy, Pc was issued its 1205002888 by the Centers for Medicare & Medicaid Services on 2008-05-05.
When was the information regarding Covenant Family Allergy, Pc most recently updated?
The details pertaining to the Covenant Family Allergy, Pc, including its address, specialty, and other relevant information, were last refreshed on 2013-04-18.