Healthcare Provider Details

I. General information

NPI: 1649226408
Provider Name (Legal Business Name): JOHN A DRUMMOND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 01/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 COLLIER RD NW SUITE 175
ATLANTA GA
30309-1671
US

IV. Provider business mailing address

35 COLLIER RD NW SUITE 175
ATLANTA GA
30309-1671
US

V. Phone/Fax

Practice location:
  • Phone: 404-446-0456
  • Fax: 404-355-7184
Mailing address:
  • Phone: 404-446-0456
  • Fax: 404-355-7184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number16333
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number16333
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: