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Organization

GI NORTH PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIMON ROBERT COFRANCESCO M.D. (OWNER/M.D.)
(404) 446-0600
Entity
Organization

Contact information

Practice address
1505 NORTHSIDE BLVD, SUITE 1800, CUMMING, GA 30041
(404) 446-0600
(404) 446-0601
Mailing address
1505 NORTHSIDE BLVD, SUITE 1800, CUMMING, GA 30041
(404) 446-0600
(404) 446-0601

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
062826
GA
207RG0100X
Gastroenterology Physician
Primary
207ZP0101X
Anatomic Pathology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
62826
MEDICAL LICENSE
GA
05
PENDING
GA
Enumeration date
03/11/2011
Last updated
03/10/2023
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