MEDICARE: IORA HEALTH GEORGIA, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1275192866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IORA HEALTH GEORGIA, P.C.

Provider Business Mailing Address
First Line	:	1 EMBARCADERO CTR FL 19
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-3628
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2685 METROPOLITAN PKWY SW STE G
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30315-7926
Country	:	US
Telephone Number	:	404-596-4344
Fax Number	:	844-935-6886

Authorized Official
Title or Position	:	CHIEF MEDICAL OFFICER
Name	:	ANDREW DIAMOND
Credential	:	MD
Telephone Number	:	415-814-0927

Provider Enumeration Date	:	06/07/2019
Last Update Date	:	09/07/2023

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