OrganizationActive
Advanced Allergy Inc
NPI 1023352069 · Allergy & Immunology Physician · Atlanta, GA
Provider details
- NPI number
- 1023352069
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maziar Rezvani, Owner(404) 983-2034
- License
- 053937 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5512 Glenridge Dr Ne
Unit a
Atlanta, GA 30342-7213
Phone: (404) 983-2034
Approximate (ZIP-level) locationGet directions
Mailing address
5512 Glenridge Dr Ne
Atlanta, GA 30342-7213
Registry dates
- Enumerated
- 2012-11-15
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.