| Atlanta Infectious Disease Specialists Pc | |
|
960 Johnson Ferry Rd Ne Suite 500 Atlanta GA 30342-1631 | |
| (404) 851-0081 | |
| (404) 851-0077 |
| Full Name | Atlanta Infectious Disease Specialists Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 960 Johnson Ferry Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | John M Maloney (PRESIDENT) |
| Authorized Official Contact | 4048510081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Infectious Disease Specialists Pc 960 Johnson Ferry Rd Ne Suite 500 Atlanta GA 30342-1631 Ph: (404) 851-0081 | Atlanta Infectious Disease Specialists Pc 960 Johnson Ferry Rd Ne Suite 500 Atlanta GA 30342-1631 Ph: (404) 851-0081 |
| NPI Number | 1194812347 |
|---|---|
| Provider Enumeration Date | 10/09/2006 |
| Last Update Date | 02/27/2013 |
| Medicare PECOS PAC ID | 3072598580 |
|---|---|
| Medicare Enrollment ID | O20040621000194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194812347 | NPI | - | NPPES |
| 00381169C / D | Medicaid | GA | |
| 00381169C | Medicaid | GA | |
| 263262310A | Medicaid | GA | |
| 00265746C | Medicaid | GA |
| Provider Name | Hugh Lee Durham |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669542023 PECOS PAC ID: 9234026634 Enrollment ID: I20040301001105 |
| Provider Name | John M Maloney |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255366456 PECOS PAC ID: 0446235634 Enrollment ID: I20101207000527 |
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