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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