Organization · Type 2 NPI
Divinity Internal Medicine & Associates Inc.
Point of Service · Atlanta, GA
NPI number
1902167935
Active
Practice location
494 Boulevard SE
Atlanta, GA 30312-3426
Mailing address
4426 Hugh Howell Rd Ste B160
Tucker, GA 30084-4918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Point of Service Primary | 305S00000X | 154999 (GA) |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
3 other providers at this address
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About NPI 1902167935
Divinity Internal Medicine & Associates Inc.'s National Provider Identifier is 1902167935, issued on Jun 6, 2012. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Atlanta, GA. The record was last updated on Jun 6, 2012.