institution
Id Group Of Atlanta
Non-Pharmacy Dispensing Site in Atlanta, Georgia
NPI 1063833267

Id Group Of Atlanta is a Non-Pharmacy Dispensing Site based in Atlanta, GA. Id Group Of Atlanta practices in Atlanta, GA. The NPI Number for Id Group Of Atlanta is 1063833267 and holds a License No. 049992 (Georgia).

The current practice location address for Id Group Of Atlanta is 735 Piedmont Avenue, Ne, Atlanta, GA and can be reached out via phone at 404-588-4680.

Location: 735 Piedmont Avenue, Ne, Atlanta, GA, 30308
institution
Provider Profile Details
NPI Number
1063833267
Provider Name
Id Group Of Atlanta
Credential
Provider Entity Type
Organization
Address
735 Piedmont Avenue, Ne, Atlanta, GA, 30308
Phone Number
404-588-4680
Fax Number
Provider Enumeration Date
12/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000926318A 05 GA
institution
Provider Business Practice Location Address Details
Address
735 Piedmont Avenue, Ne
City
State
Zip
30308
Phone Number
404-588-4680
Fax Number
person
Provider Business Mailing Address Details
Address
735 Piedmont Avenue, Ne
City
State
Zip
30308
Phone Number
404-588-4680
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
License No.
049992 (Georgia)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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