# INFECTIOUS DISEASE SERVICES OF GA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730555269
- **Authorized official:** MARYANN SHERBER (PRACTICE MANAGER)
- **Authorized official phone:** (770) 255-1069

## Contact information

- **Practice address:** 11660 ALPHARETTA HWY, SUITE 430, ROSWELL, GA 30076-4943
- **Practice address phone:** (770) 255-1069
- **Mailing address:** 11660 ALPHARETTA HWY, SUITE 430, ROSWELL, GA 30076-4943
- **Mailing address phone:** (770) 255-1069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | RN088988 | GA | Yes |

## Other

- **Enumeration date:** 08/19/2015
- **Last updated:** 08/19/2015