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INFECTIOUS DISEASE GROUP OF ATLANTA LLC NPI 1558430363


NPI Information

NPI: 1558430363
Provider Name: INFECTIOUS DISEASE GROUP OF ATLANTA, LLC

Doing Business As: ID GROUP OF ATLANTA, LLC

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
735 PIEDMONT AVE NE
ATLANTA, GA
ZIP 30308
Phone: (404) 588-4680
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INFECTIOUS DISEASE GROUP OF ATLANTA, LLC is an infectious disease internal medicine in Atlanta, GA. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. INFECTIOUS DISEASE GROUP OF ATLANTA, LLC NPI is 1558430363. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Id Group Of Atlanta, Llc.

The provider's business location address is:

735 PIEDMONT AVE NE
ATLANTA, GA
ZIP 30308-416
Phone: (404) 588-4680
Fax: (404) 588-4692

The provider's authorized official is John P Ouderkirk .
The authorized official title is Owner and has the following contact phone number (404) 588-4680.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP3612MEDICARE PINGEORGIA
211D1023598OTHERCLIA IDENTIFICATION #
3055003616AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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