OrganizationActive
Id Group of Atlanta
NPI 1063833267 · Non-Pharmacy Dispensing Site · Atlanta, GA
Provider details
- NPI number
- 1063833267
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- John Ouderkirk, Member(404) 588-4680
- License
- 049992 (GA)
Specialties & taxonomies
Suppliers
Practice location
735 Piedmont Avenue, Ne
Atlanta, GA 30308
Phone: (404) 588-4680
Approximate (ZIP-level) locationGet directions
Mailing address
735 Piedmont Avenue, Ne
Atlanta, GA 30308
Registry dates
- Enumerated
- 2013-12-16
- Last updated
- 2013-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.