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Contact Information

INTERVENTIONAL INSTITUTE OF GEORGIA
7130 MOUNT ZION BLVD
SUITE 2
JONESBORO, GA30236-2566
 Phone: 770-506-4007
 Fax: 678-246-5191
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

213ER0200X 48 Podiatry
Indicates primary specialty

NPI Profile & details for INTERVENTIONAL INSTITUTE OF GEORGIA · (Female)

NPI Number 1508284175
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2014
Last updated 04/01/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 043894
  • GA Medicaid 000757314H
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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