# GASTROENTEROLOGY & HEPATOLOGY SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376935023
- **Authorized official:** LONG BAO NGUYEN D.O. (REGISTERED AGENT)
- **Authorized official phone:** (770) 557-8788

## Contact information

- **Practice address:** 1670 MCKENDREE CHURCH RD, \#800, LAWRENCEVILLE, GA 30043-4107
- **Practice address phone:** (470) 210-7766
- **Practice address fax:** (470) 210-7767
- **Mailing address:** 1670 MCKENDREE CHURCH RD, \#800, LAWRENCEVILLE, GA 30043-4107
- **Mailing address phone:** (470) 210-7766
- **Mailing address fax:** (470) 210-7767

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 14006863 | GA | Yes |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 03/03/2015