| Metro Infectious Disease Consultants Llc | |
|
7823 Spivey Station Blvd Ste 360 Jonesboro GA 30236-2886 | |
| (770) 741-1750 | |
| Not Available |
| Full Name | Metro Infectious Disease Consultants Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7823 Spivey Station Blvd Ste 360, Jonesboro, Georgia |
| Authorized Official Name and Position | Russell M Petrak (MANAGING PARTNER) |
| Authorized Official Contact | 8882206432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Infectious Disease Consultants Llc 901 Mcclintock Dr Ste 202 Burr Ridge IL 60527-0872 Ph: (630) 220-6432 | Metro Infectious Disease Consultants Llc 7823 Spivey Station Blvd Ste 360 Jonesboro GA 30236-2886 Ph: (770) 741-1750 |
| NPI Number | 1770307191 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Medicare PECOS PAC ID | 3072425784 |
|---|---|
| Medicare Enrollment ID | O20250417002871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770307191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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