Organization
ATLANTA WEST GASTROENTEROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVINCHANDRA M RUPARELIA MD (OWNER)
(770) 949-6548
Entity
Organization
Contact information
Practice address
6084 PROFESSIONAL PARKWAY, SUITE #C, DOUGLASVILLE, GA 30134
(770) 949-6548
(770) 949-9561
Mailing address
6084 PROFESSIONAL PARKWAY, SUITE #C, DOUGLASVILLE, GA 30134
(770) 949-6548
(770) 949-9561
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
GA26928
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00301122A
—
GA
Enumeration date
01/22/2007
Last updated
09/13/2012
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