Organization
CENTER FOR INFECTIOUS DISEASES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMAN MONGIA MD (PHYSICIAN)
(678) 721-6971
Entity
Organization
Contact information
Practice address
100 MARKET PLACE BLVD, SUITE 207, CARTERSVILLE, GA 30121-8718
(678) 721-6971
(678) 721-6974
Mailing address
100 MARKET PLACE BLVD, SUITE 207, CARTERSVILLE, GA 30121-8718
(678) 721-6971
(678) 721-6974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
055510
GA
174400000X
Specialist
55685
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
537456433A
—
GA
Enumeration date
08/15/2007
Last updated
09/22/2015
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