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Contact Information

IDC MEDICAL LLC
5400 LAUREL SPRINGS PKWY STE 1404
SUWANEE, GA30024-6098
 Phone: 678-347-2153
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IDC MEDICAL LLC

NPI Number 1912468620
LBN Legal business name IDC MEDICAL LLC
Authorized official JOHN STELLBAUER - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2019
Last updated 09/09/2022 - About 4 years ago
Identifiers n/a
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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