Organization · Type 2 NPI
Idlewood Medical Clinic Inc
Adult Medicine Physician · Tucker, GA
NPI number
1316249246
Active
Practice location
2157 Idlewood Rd, Ste B
Tucker, GA 30084-4832
Fax (305) 388-4380
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
Other adult medicine physician providers in Tucker
About NPI 1316249246
Idlewood Medical Clinic Inc's National Provider Identifier is 1316249246, issued on Nov 29, 2010. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tucker, GA. The record was last updated on Dec 17, 2010.