| NPI | 1558430363 |
|---|---|
| Doing Business As | ID GROUP OF ATLANTA, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN P OUDERKIRK Owner 404-588-4680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-07-06 |