| Infectious Disease Group Of Atlanta, Llc | |
|
735 Piedmont Ave Ne Atlanta GA 30308-1416 | |
| (404) 588-4680 | |
| (404) 588-4692 |
| Full Name | Infectious Disease Group Of Atlanta, Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 735 Piedmont Ave Ne, Atlanta, Georgia |
| Authorized Official Name and Position | John P Ouderkirk (OWNER) |
| Authorized Official Contact | 4045884680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Disease Group Of Atlanta, Llc 735 Piedmont Ave Ne Atlanta GA 30308-1416 Ph: (404) 588-4680 | Infectious Disease Group Of Atlanta, Llc 735 Piedmont Ave Ne Atlanta GA 30308-1416 Ph: (404) 588-4680 |
| NPI Number | 1558430363 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 07/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558430363 | NPI | - | NPPES |
| 055003616A | Medicaid | GA | |
| 11D1023598 | Other | CLIA IDENTIFICATION # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Extreme Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2484 Briarcliff Rd Ne, Suite 22-353, Atlanta, GA 30329 Phone: 678-237-6363 | |
Saint Joseph's Mercy Care Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Hannover Park Rd Ste 100, Atlanta, GA 30350 Phone: 678-843-8500 Fax: 678-843-8601 | |
Physicians Care Centers Of Atlanta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Boulevard Ne, Suite 435, Atlanta, GA 30312 Phone: 561-385-0731 | |
Tis (to Inspire Strong) African Children Fund, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2233 Peachtree Rd Ne Ste 206a, Atlanta, GA 30309 Phone: 202-872-8333 | |
Comfort Medical Center Phoenix Blvd, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Phoenix Blvd Ste 125, Atlanta, GA 30349 Phone: 404-982-4228 Fax: 404-275-0676 | |
Aylo Health, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3333 Riverwood Pkwy Se Ste 250, Atlanta, GA 30339 Phone: 770-914-0116 Fax: 770-914-7703 | |
Cardiac Disease Specialists, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1938 Peachtree Rd Nw, Ste 412, Atlanta, GA 30309 Phone: 404-351-3231 Fax: 404-351-3167 |