NPI 1063833267

Id Group of Atlanta

Organisation Non-Pharmacy Dispensing Site Atlanta, GA

Practice location

Address: 735 Piedmont Avenue, NE, Atlanta, GA 30308
Phone: (404) 588-4680

Authorised official

Name: John P Ouderkirk
Title: Member
Phone: (404) 588-4680

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence 049992 (GA)

Other Non-Pharmacy Dispensing Site providers in Georgia →

Registry record

NPI: 1063833267
Entity type: Organization
NPI issued: 16 Dec 2013
Record last updated: 16 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.