Organization
GASTROINTESTINAL SPECIALISTS OF GEORGIA II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HOLDEN ACCOUNTING (MANAGER)
(404) 943-0205
Entity
Organization
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 502, AUSTELL, GA 30106-6810
(404) 943-0205
Mailing address
PO BOX 468329, ATLANTA, GA 31146-8329
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
01/13/2009
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