Basic Information
| Provider Information | |||||||||
| NPI: | 1346479748 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TONDA | ||||||||
| FirstName: | LAURA | ||||||||
| MiddleName: | CLAUDIA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3000 HOSPITAL BOULEVARD | ||||||||
| Address2: | |||||||||
| City: | ROSWELL | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30076 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7707512506 | ||||||||
| FaxNumber: | 7707512898 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 JOHNSON FERRY RD | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303421606 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4048518000 | ||||||||
| FaxNumber: | 4043033759 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2009 | ||||||||
| LastUpdateDate: | 01/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 070784 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | LL31860 | SC | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 70784 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 70784 | GA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.