Provider Demographics
NPI:1477818706
Name:PIEDMONT RHEUMATOLOGY CONSULTANTS II LLC
Entity Type:Organization
Organization Name:PIEDMONT RHEUMATOLOGY CONSULTANTS II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALICIA HOLDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-943-0205
Mailing Address - Street 1:5909 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE 900
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-8102
Mailing Address - Country:US
Mailing Address - Phone:404-943-0205
Mailing Address - Fax:404-943-0209
Practice Address - Street 1:2001 PEACHTREE RD NE
Practice Address - Street 2:SUITE 205
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1476
Practice Address - Country:US
Practice Address - Phone:404-351-2551
Practice Address - Fax:404-351-9238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty