Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Live Oak Allergy, Asthma & Immunology, LLC

Organization Medical Specialty Clinic/Center · NPI 1689066649

Live Oak Allergy, Asthma & Immunology, LLC is a Medical Specialty Clinic/Center in Pooler, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

143 Canal St Ste 200
Pooler, GA 31322-6007
Phone: (615) 477-2226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence 073306 (GA)

Record details

NPI number1689066649
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mitchell Henson — Practice Manager · (615) 477-4321
NPI enumeratedFebruary 28, 2015
Last updated in NPPESFebruary 28, 2015
Mailing address143 Canal St, Suite 200, Pooler, GA 31322-6007

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