Basic Information
| Provider Information | |||||||||
| NPI: | 1467410738 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ARONA | ||||||||
| FirstName: | AUDREY | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 MEDICAL CENTER BLVD | ||||||||
| Address2: | SUITE 310 | ||||||||
| City: | LAWRENCEVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300458708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709625100 | ||||||||
| FaxNumber: | 7709622400 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 MEDICAL CENTER BLVD | ||||||||
| Address2: | SUITE 310 | ||||||||
| City: | LAWRENCEVILLE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300458708 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7709625100 | ||||||||
| FaxNumber: | 7709622400 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/03/2006 | ||||||||
| LastUpdateDate: | 09/12/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 48267 | GA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 5921022 | 01 | GA | AETNA PPO PROVIDER # | OTHER | 669307 | 01 | GA | BCBS OF GEORGIA PROVID # | OTHER | 00856666A | 05 | GA | MEDICAID | 175680601 | 01 | GA | CIGNA PROVIDER # | OTHER | 160059992 | 01 | GA | RAILROAD MEDICARE PROV # | OTHER | 2266873 | 01 | GA | AETNA HMO PROVIDER # | OTHER |