Organization · NPI-2

Aid Atlanta INC

Internal Medicine, Infectious Disease · Newnan, GA

NPI number1144646340

StatusActive

Last updated in NPPESMar 6, 2024

Details

NPI: 1144646340
Entity type: Organization (NPI-2)
Legal business name: Aid Atlanta INC
Organization subpart: No
Enumeration date: Mar 12, 2014
Certification date: Mar 6, 2024
Last updated: Mar 6, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RI0200X	Internal Medicine, Infectious Disease	–	–	Yes
261Q00000X	Clinic/Center	–	–

Practice location

770 Greison Trl Ste H
Newnan, GA 30263-6401

Phone 770-252-5418 · Fax 770-252-5417

Mailing address

6255 W Sunset Blvd Fl 21
Los Angeles, CA 90028-7422

Phone 323-860-5200 · Fax 833-241-7615

Authorized official

Lyle Honig Mojica
Cfo
3238605305

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