National Provider Identifier Database

OTIS PRESTIGE
Infectious Disease

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.


Contact Information

OTIS PRESTIGE
109 ANDERSON ST SE STE 200A
MARIETTA, GA30060-8610
Phone: 470-301-8528
Fax:
Website:
Specialty Taxonomy Code
* Infectious Disease 207RI0200X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for OTIS PRESTIGE

NPI Number 1992431753
Legal business name
LBN
OTIS PRESTIGE
Authorized official DAMIAN DRAGO - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/25/2022
Last updated 07/25/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Other: 4703018528 4703018528

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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