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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDLEWOOD MEDICAL CLINIC INC

Active Organization

IDLEWOOD MEDICAL CLINIC INC is a Adolescent Medicine organization located in TUCKER, Georgia. NPI 1316249246 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine · TUCKER, GA

Registration Details

NPI Number
1316249246
Provider Type
Organization
NPI Issued
Nov 29, 2010 (15.71017652682 yrs)
Last Updated
Dec 17, 2010

Practice Information

Address
2157 IDLEWOOD RD
STE B
TUCKER, GA, 300844832
Browse GA providers · Browse ZIP 30084
Phone
3053884383
Fax
3053884380
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Organizations in TUCKER, GA

Name NPI
FOUNDATION 33 WELLNESS 1639031990
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.