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Organization

ATLANTA I.D. GROUP, P.C.

Active
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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
CAROL LYNN HOPPER (PRACTICE ADMINSITRATOR)
(770) 883-7960
Entity
Organization

Contact information

Practice address
1265 HIGHWAY 54 W STE 500C, FAYETTEVILLE, GA 30214-4537
(678) 435-3040
(678) 435-3044
Mailing address
275 COLLIER RD NW STE 450, ATLANTA, GA 30309-1748
(404) 355-3161
(404) 355-1353

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300033798C
GA
Enumeration date
03/29/2018
Last updated
03/29/2018
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