Provider Demographics
NPI:1972292704
Name:IVERIFY DOCS
Entity type:Organization
Organization Name:IVERIFY DOCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-884-8374
Mailing Address - Street 1:3715 NORTHSIDE PARKWAY NORTHWEST
Mailing Address - Street 2:BLDG 100 - STE 500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327
Mailing Address - Country:US
Mailing Address - Phone:888-884-8374
Mailing Address - Fax:
Practice Address - Street 1:3715 NORTHSIDE PARKWAY NORTHWEST
Practice Address - Street 2:BLDG 100 - STE 500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327
Practice Address - Country:US
Practice Address - Phone:888-884-8374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-08
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center