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Organization
GASTROINTESTINAL SPECIALISTS OF GEORGIA II LLC
Active
Organization
GASTROINTESTINAL SPECIALISTS OF GEORGIA II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HOLDEN ACCOUNTING (MANAGER)
(404) 943-0205
Entity
Organization
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 502, AUSTELL, GA 30106-6810
(404) 943-0205
Mailing address
PO BOX 468329, ATLANTA, GA 31146-8329
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
01/13/2009
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