Idlewood Medical Clinic Inc

LBN: Idlewood Medical Clinic Inc
Idlewood Medical Clinic Inc is an health care organization with primary practice located at 2157 Idlewood Rd Ste B, Tucker GA 30084-4832. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Idlewood Medical Clinic Inc can be contacted via phone (305) 388-4383, or through De La Vega, Aida Rosa via phone (305) 388-4383.

Contact Information

Primary practice address
2157 Idlewood Rd Ste B Tucker GA 30084-4832
Phone: (305) 388-4383
Fax: (305) 388-4380
Website:
Map and Directions
Authorized official contact:
Name: De La Vega, Aida Rosa
Phone: (305) 388-4383

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X

Profile Details

NPI number 1316249246
LBN Legal business name Idlewood Medical Clinic Inc
DBA Doing business as
Authorized official De La Vega, Aida Rosa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2010
Last updated Dec 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers