INTERVENTIONAL INSTITUTE OF GEORGIA; NPI #1508284175

Contact Information

INTERVENTIONAL INSTITUTE OF GEORGIA

7130 MOUNT ZION BLVD
SUITE 2
JONESBORO, GA 30236-2566

Phone: 770-506-4007
Fax: 678-246-5191
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	213ER0200X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for INTERVENTIONAL INSTITUTE OF GEORGIA

NPI # 1508284175

LBN Legal business name INTERVENTIONAL INSTITUTE OF GEORGIA

Authorized official HOLLY FARROW - (CLINICAL COORDINATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/01/2014

Last updated 04/01/2014 - About 12 years ago

Identifiers

GA	License #	043894
GA	Medicaid	000757314H

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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INTERVENTIONAL INSTITUTE OF GEORGIA

Contact Information

Specialty

Radiology

NPI Profile & details for INTERVENTIONAL INSTITUTE OF GEORGIA

Reviews for INTERVENTIONAL INSTITUTE OF GEORGIA