Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idc Medical LLC

Organization Infectious Disease Physician · NPI 1912468620

Idc Medical LLC is an Infectious Disease Physician in Suwanee, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5400 Laurel Springs Pkwy Ste 1404
Suwanee, GA 30024-6098
Phone: (678) 347-2153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X

Record details

NPI number1912468620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Stellbauer — Ceo · (678) 347-2153
NPI enumeratedMarch 26, 2019
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022
Mailing address5400 Laurel Springs Pkwy Ste 1404, Suwanee, GA 30024-6098

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