OrganizationActive
Annual Wellness Centers of America
NPI 1003472036 · Allergy & Immunology Physician · Lawrenceville, GA
Provider details
- NPI number
- 1003472036
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tyler Penrod, Biller(832) 289-9225
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
753 Old Norcross Rd Ste B
Lawrenceville, GA 30046-4312
Phone: (770) 545-8888
Approximate (ZIP-level) locationGet directions
Mailing address
5942 Watersdown Way
Flowery Branch, GA 30542-3221
Registry dates
- Enumerated
- 2019-05-15
- Last updated
- 2019-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.