Healthcare Provider Details
I. General information
NPI: 1003620253
Provider Name (Legal Business Name): AOP ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/06/2025
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2701 N DECATUR RD
DECATUR GA
30033-5918
US
IV. Provider business mailing address
2701 N DECATUR RD
DECATUR GA
30033-5918
US
V. Phone/Fax
- Phone: 404-501-7445
- Fax:
- Phone: 404-501-7445
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223P0106X |
| Taxonomy | Oral and Maxillofacial Pathology Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
ANN
BILODEAU
Title or Position: OWNER
Credential: MD
Phone: 404-501-7445