Organization
INFECTIOUS DISEASE SERVICES OF GEORGIA PC
Active
Organization
INFECTIOUS DISEASE SERVICES OF GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY CHISM (BILLING DEPARTMENT)
(770) 255-1069
Entity
Organization
Contact information
Practice address
11660 ALPHARETTA HWY, SUITE 430, ROSWELL, GA 30076-4943
(770) 255-1069
(770) 255-1075
Mailing address
11660 ALPHARETTA HWY, SUITE 430, ROSWELL, GA 30076-4943
(770) 255-1069
(770) 255-1075
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003233274A
—
GA
Enumeration date
01/31/2007
Last updated
06/09/2024
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