Id Group Of Atlanta, Llc

LBN: Infectious Disease Group Of Atlanta, Llc
Id Group Of Atlanta, Llc is an health care organization with primary practice located at 735 Piedmont Ave Ne , Atlanta GA 30308-1416. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as the primary health care specialty. Infectious Disease Group Of Atlanta, Llc can be contacted via phone (404) 588-4680, or through Ouderkirk, John P via phone (404) 588-4680.

Contact Information

Primary practice address
735 Piedmont Ave Ne Atlanta GA 30308-1416
Phone: (404) 588-4680
Fax: (404) 588-4692
Website:
Map and Directions
Authorized official contact:
Name: Ouderkirk, John P Doctor of Medicine (MD)
Phone: (404) 588-4680

Health care specialties

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

Profile Details

NPI number 1558430363
LBN Legal business name Infectious Disease Group Of Atlanta, Llc
DBA Doing business as Id Group Of Atlanta, Llc
Authorized official Ouderkirk, John P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Jul 6th, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558430363 NPPES
Georgia MEDICAID 055003616A
Georgia Other 11D1023598

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