National Provider Identifier Database

METRO INFECTIOUS DISEASE ASSOCIATES INC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

METRO INFECTIOUS DISEASE ASSOCIATES, INC
1413 CLEVELAND AVE
EAST POINT, GA30344-6901
Phone: 404-768-2669
Fax: 404-768-3479
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for METRO INFECTIOUS DISEASE ASSOCIATES, INC

NPI Number 1740468016
Legal business name
LBN
METRO INFECTIOUS DISEASE ASSOCIATES, INC
Authorized official OVIE UGHWANOGHO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/08/2008
Last updated 07/17/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 127750013A

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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