Organization
GI CARE FOR KIDS ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURI GEBHART (ADMINISTRATOR)
(404) 503-2271
Entity
Organization
Contact information
Practice address
993 JOHNSON FERRY RD NE # D, SUITE 100, ATLANTA, GA 30342-1620
(404) 257-0799
(404) 503-2280
Mailing address
993 JOHNSON FERRY RD NE # D, SUITE 100, ATLANTA, GA 30342-1620
(404) 257-0799
(404) 503-2280
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
—
—
261QE0800X
Endoscopy Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2009
Last updated
01/30/2009
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