Organization
INTOWN INFECTIOUS DISEASES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIE A LUKASHOK M.D. (OWNER)
(404) 805-6062
Entity
Organization
Contact information
Practice address
619 RANKIN ST NE, ATLANTA, GA 30308-2920
(404) 805-6062
Mailing address
1961 OAK GROVE RD NE, ATLANTA, GA 30345-3840
(404) 805-6062
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
44010
GA
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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