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Contact Information

INFECTIOUS DISEASE SERVICES OF GEORGIA PC
11660 ALPHARETTA HWY
SUITE 430
ROSWELL, GA30076-4943
 Phone: 770-255-1069
 Fax: 770-255-1075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for INFECTIOUS DISEASE SERVICES OF GEORGIA PC

NPI # 1831236728
LBN Legal business name INFECTIOUS DISEASE SERVICES OF GEORGIA PC
Authorized official EMILY CHISM - (BILLING DEPARTMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2007
Last updated 06/09/2024 - More than a year ago
Identifiers
GA Medicaid 003233274A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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