Organization Name: | CENTER FOR INFECTIOUS DISEASES LLC |
NPI Number: | 1578755351 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMAN MONGIA (PHYSICIAN) |
Mailing Address: | 100 Market Place Blvd Suite 207 Cartersville |
State: | GA US |
Postal Code: | 301218718 |
Phone Number: | 6787216971 |
Fax Number: | 6787216974 |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 55685 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |