SOUTHERN ALLERGY AND MEDICAL CLINIC, INC.
NPI 1417513177
Allergy & Immunology - Allergy in New Tazewell, TN

Q: What is Southern Allergy And Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Active since May 17, 2019

109 MAIN ST, NEW TAZEWELL, TN 37825(423) 259-5704(423) 259-5706 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southern Allergy And Medical Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN ALLERGY AND MEDICAL CLINIC, INC. (NPI 1417513177) is a healthcare organization registered as an allergy in New Tazewell, Tennessee and active in the NPI registry since May 2019. The organization lists Sasha Lashea' Bussell, Owner, as its authorized official.

NPPES Registry Identity

NPI1417513177

Entity TypeOrganization

Primary Taxonomy207KA0200X

Legal Business NameSOUTHERN ALLERGY AND MEDICAL CLINIC, INC.

Location Address109 MAIN STNew Tazewell, TN 37825-6635

Mailing AddressPo Box 69New Tazewell, TN 37824-0069 · (423) 259-5704 · Fax (423) 259-5706

Phone(423) 259-5704

Fax(423) 259-5706

Organization SubpartNo

Authorized OfficialSasha Lashea' BussellOwner · (423) 489-5841

Enumeration DateMay 17, 2019

✔ NPI 1417513177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians

Taxonomy Code207KA0200X

Definition

A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

Also ListedPhysician AssistantTaxonomy 363A00000X

109 MAIN ST, New Tazewell, TN 37825

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Allergy And Medical Clinic, Inc.'s NPI number?

The NPI number for Southern Allergy And Medical Clinic, Inc. is 1417513177. It was assigned to this organization in the NPPES registry on May 17, 2019.

Where is Southern Allergy And Medical Clinic, Inc. located?

Southern Allergy And Medical Clinic, Inc. is located at 109 Main St, New Tazewell, TN 37825. The listed phone number is (423) 259-5704.

What is Southern Allergy And Medical Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

When was this NPI record last updated?

The NPPES record for Southern Allergy And Medical Clinic, Inc. was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.