Organization
INFECTIOUS DISEASES ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM TEMPLETON (PRACTICE ADMINISTRATOR)
(770) 991-1500
Entity
Organization
Contact information
Practice address
6285 GARDEN WALK BLVD, STE A, RIVERDALE, GA 30274-2612
(770) 991-1500
(770) 991-9047
Mailing address
6285 GARDEN WALK BLVD, STE A, RIVERDALE, GA 30274-2612
(770) 991-1500
(770) 991-9047
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
019754
GA
207RI0200X
Infectious Disease Physician
020689
GA
207RI0200X
Infectious Disease Physician
63616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427064583
NPI
GA
01
—
1538216338
NPI
—
01
—
1548276603
NPI
GA
Enumeration date
05/17/2007
Last updated
06/22/2011
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