Organization · NPI-2

Aids Healthcare Foundation

Internal Medicine · Lithonia, GA

NPI number1750656906
StatusActive
Last updated in NPPESSep 11, 2019

Details

NPI
1750656906
Entity type
Organization (NPI-2)
Legal business name
Aids Healthcare Foundation
Organization subpart
No
Enumeration date
Mar 20, 2012
Last updated
Sep 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Ahf (Doing Business As)

Practice location

5700 Hillandale Dr
Suite 100
Lithonia, GA 30058-4103

Phone 323-436-5019 · Fax 323-337-9142

Mailing address

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

Phone 323-860-5200 · Fax 833-241-7615

Authorized official

Donna Stidham
Chief, Managed Care
3234365025

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