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Organization
GI NORTH PC
Active
Organization
GI NORTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON ROBERT COFRANCESCO M.D. (OWNER/M.D.)
(404) 446-0600
Entity
Organization
Contact information
Practice address
1505 NORTHSIDE BLVD, SUITE 1800, CUMMING, GA 30041
(404) 446-0600
(404) 446-0601
Mailing address
1505 NORTHSIDE BLVD, SUITE 1800, CUMMING, GA 30041
(404) 446-0600
(404) 446-0601
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
062826
GA
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
207ZP0101X
Anatomic Pathology Physician
—
NULL
207ZP0101X
Anatomic Pathology Physician
—
—
Other
Enumeration date
03/11/2011
Last updated
03/10/2023
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