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Organization

ATLANTA I.D. GROUP, P.C.

Active
Other names
Infectious Disease Solutions
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS E LOPEZ M.D. (PHYSICIAN/OWNER)
(404) 355-3161
Entity
Organization

Contact information

Practice address
2001 PEACHTREE RD NE, SUITE 640, ATLANTA, GA 30309-1476
(404) 355-3161
(404) 355-1353
Mailing address
2001 PEACHTREE RD NE, SUITE 640, ATLANTA, GA 30309-1476
(404) 355-3161
(404) 355-1353

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
19066
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00211373B
GA
05
00466738B
GA
Enumeration date
03/02/2006
Last updated
07/18/2011
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