INTERNAL MEDICINE ASSOCIATES OF ROCKDALE PC

Provider Demographics

• NPI: 1013092154
• Name: INTERNAL MEDICINE ASSOCIATES OF ROCKDALE PC
• Entity type: Organization
• Organization Name: INTERNAL MEDICINE ASSOCIATES OF ROCKDALE PC
• Authorized Official - Title/Position: CHIEF FINANCIAL OFFICER
• Authorized Official - Prefix: DR
• Authorized Official - First Name: MARSHALL
• Authorized Official - Middle Name: DAVID
• Authorized Official - Last Name: ALMAND
• Authorized Official - Phone: 770-922-3023
• Mailing Address - Street 1: 1301 WELLBROOK CIRCLE
• Mailing Address - City: CONYERS
• Mailing Address - State: GA
• Mailing Address - Zip Code: 30012
• Mailing Address - Country: US
• Mailing Address - Phone: 770-922-3023
• Mailing Address - Fax: 770-929-1016
• Practice Address - Street 1: 1301 WELLBROOK CIRCLE
• Practice Address - City: CONYERS
• Practice Address - State: GA
• Practice Address - Zip Code: 30012
• Practice Address - Country: US
• Practice Address - Phone: 770-922-3023
• Practice Address - Fax: 770-929-1016
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-10-26
• Last Update Date: 2013-08-19

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
	E00388	Medicare UPIN
	D28788	Medicare UPIN
	97BBFKP	Medicare ID - Type Unspecified
	254020658B	Medicare ID - Type Unspecified
	11BDFPR	Medicare ID - Type Unspecified
	S95506	Medicare UPIN
	H05178	Medicare UPIN
	F79981	Medicare UPIN
	D41163	Medicare UPIN
	H05161	Medicare UPIN
	11BDMVR	Medicare ID - Type Unspecified
	423789000A	Medicare ID - Type Unspecified
	G21655	Medicare UPIN
	253860234A	Medicare ID - Type Unspecified
	11BDQZG	Medicare ID - Type Unspecified
	252905381A	Medicare ID - Type Unspecified
	11BDKHH	Medicare ID - Type Unspecified
	00838142A	Medicare ID - Type Unspecified
	D39714	Medicare UPIN
	F40180	Medicare UPIN