<Unavail>

LBN: Atlanta I.D. Group, P.C.
<Unavail> is an health care organization with primary practice located at 1265 Highway 54 W Ste 500C , Fayetteville GA 30214-4537. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Atlanta I.D. Group, P.C. can be contacted via phone (678) 435-3040, or through Hopper, Carol Lynn via phone (770) 883-7960.

Contact Information

Primary practice address
1265 Highway 54 W Ste 500C Fayetteville GA 30214-4537
Phone: (678) 435-3040
Fax: (678) 435-3044
Website:
Map and Directions
Authorized official contact:
Name: Hopper, Carol Lynn
Phone: (770) 883-7960

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X Georgia

Profile Details

NPI number 1649775792
LBN Legal business name Atlanta I.D. Group, P.C.
DBA Doing business as <Unavail>
Authorized official Hopper, Carol Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2018
Last updated Mar 29th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649775792 NPPES
Georgia MEDICAID 300033798C

Popular Providers