Organization
GI ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL LANDY M.D (M.D.)
(770) 922-1700
Entity
Organization
Contact information
Practice address
750 PARK AVE NE, APT 13 WEST, ATLANTA, GA 30326-3266
(770) 922-1700
(770) 922-1090
Mailing address
750 PARK AVE NE, APT 13 WEST, ATLANTA, GA 30326-3266
(770) 922-1700
(770) 922-1090
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
011600
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000016662A
—
GA
01
—
CF2895
RAILROAD MEDICARE
GA
Enumeration date
03/10/2008
Last updated
11/13/2009
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