| Intown Infectious Diseases, Llc | |
|
619 Rankin St Ne Atlanta GA 30308-2920 | |
| (404) 805-6062 | |
| Not Available |
| Full Name | Intown Infectious Diseases, Llc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 619 Rankin St Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Sophie A Lukashok (OWNER) |
| Authorized Official Contact | 4048056062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intown Infectious Diseases, Llc 1961 Oak Grove Rd Ne Atlanta GA 30345-3840 Ph: (404) 805-6062 | Intown Infectious Diseases, Llc 619 Rankin St Ne Atlanta GA 30308-2920 Ph: (404) 805-6062 |
| NPI Number | 1184993578 |
|---|---|
| Provider Enumeration Date | 12/14/2011 |
| Last Update Date | 12/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184993578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 44010 (Georgia) | Primary |
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