Organization
NEWCO GI LLC
Active
Other names
GI North
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON COFRANCESCO MD (PRESIDENT)
(404) 446-0600
Entity
Organization
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290, CUMMING, GA 30040-3005
(404) 446-0600
(404) 446-0601
Mailing address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290, CUMMING, GA 30040-3005
(404) 446-0600
(404) 446-0601
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
62826
GA
207RG0100X
Gastroenterology Physician
Primary
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
Other
Enumeration date
08/03/2015
Last updated
03/10/2023
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