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Organization

AID ATLANTA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE R RODRIGUEZ-DIAZ MD, MPH, MS (CEO)
(404) 870-7720
Entity
Organization

Contact information

Practice address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(404) 870-7700
(404) 870-7719
Mailing address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(404) 870-7700
(404) 870-7719

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000519538A
GA
Enumeration date
04/19/2007
Last updated
03/28/2014
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