Provider Demographics
NPI:1467410738
Name:ARONA, AUDREY J (MD)
Entity Type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:J
Last Name:ARONA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-8708
Mailing Address - Country:US
Mailing Address - Phone:770-962-5100
Mailing Address - Fax:770-962-2400
Practice Address - Street 1:500 MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 310
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-8708
Practice Address - Country:US
Practice Address - Phone:770-962-5100
Practice Address - Fax:770-962-2400
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA48267207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA5921022OtherAETNA PPO PROVIDER #
GA669307OtherBCBS OF GEORGIA PROVID #
GA00856666AMedicaid
GA175680601OtherCIGNA PROVIDER #
GA160059992OtherRAILROAD MEDICARE PROV #
GA2266873OtherAETNA HMO PROVIDER #
GA2266873OtherAETNA HMO PROVIDER #
GAG01102Medicare UPIN