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Contact Information

JOHN P OUDERKIRK, MD
735 PIEDMONT AVE NE
ATLANTA, GA30308-1416
 Phone: 404-588-4680
 Fax: 404-588-4692
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JOHN P OUDERKIRK · (Male)

NPI # 1548260508
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2005
Last updated 07/27/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 049992
  • GA Medicaid 000926318A
  • GA Other 7439283 AETNA
  • GA Other 2647814 AETNA HMO
  • GA Other 453538 CHAMPUS
  • GA Other 8625897001 CIGNA HMO
  • GA Other 440003559 RAILROAD MEDICARE
  • GA Other 7439283 US HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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