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Contact Information

ATLANTA ID GROUP, P.C.
1265 HIGHWAY 54 WEST
SUITE 500-C
FAYETTEVILLE, GA30214
 Phone: 678-435-3040
 Fax: 678-435-3044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ATLANTA ID GROUP, P.C.

NPI # 1548767619
LBN Legal business name ATLANTA ID GROUP, P.C.
Authorized official CHRISTINE ZURAWSKI - (CEO/PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/06/2018
Last updated 04/06/2018 - About 8 years ago
Identifiers
GA License # PHRE009501
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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