Organization
ATLANTA INFECTIOUS DISEASE SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M MALONEY MD (PRESIDENT)
(404) 851-0081
Entity
Organization
Contact information
Practice address
960 JOHNSON FERRY RD NE, SUITE 500, ATLANTA, GA 30342-1631
(404) 851-0081
(404) 851-0077
Mailing address
960 JOHNSON FERRY RD NE, SUITE 500, ATLANTA, GA 30342-1631
(404) 851-0081
(404) 851-0077
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
020679
GA
207R00000X
Internal Medicine Physician
Primary
022831
GA
207R00000X
Internal Medicine Physician
056179
GA
207RI0200X
Infectious Disease Physician
020679
GA
207RI0200X
Infectious Disease Physician
022831
GA
207RI0200X
Infectious Disease Physician
056179
GA
207RI0200X
Infectious Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00265746C
—
GA
05
—
00381169C
—
GA
05
—
00381169C / D
—
GA
05
—
263262310A
—
GA
Enumeration date
10/09/2006
Last updated
02/27/2013
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