Organization
GASTROENTEROLOGY ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D LYDAY (OWNER)
(770) 400-6041
Entity
Organization
Contact information
Practice address
2006 MACY DR, ROSWELL, GA 30076-6346
(404) 257-0000
Mailing address
3025 BRECKINRIDGE BLVD, DULUTH, GA 30096-4979
(678) 226-0082
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
008698
GA
Other
Enumeration date
06/10/2006
Last updated
04/10/2023
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