Organization
AID ATLANTA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE HONIG MOJICA (CFO)
(323) 860-5305
Entity
Organization
Contact information
Practice address
770 GREISON TRL STE H, NEWNAN, GA 30263-6401
(770) 252-5418
(770) 252-5417
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(833) 241-7615
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000519538A
—
GA
Enumeration date
03/12/2014
Last updated
03/06/2024
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