Organization
WEST GEORGIA GASTROENTEROLOGY ASSOCIATES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ARLEDGE M.D. (MEDICAL DIRECTOR)
(770) 214-2800
Entity
Organization
Contact information
Practice address
157 CLINIC AVE, SUITE 201, CARROLLTON, GA 30117-4454
(770) 214-2800
(770) 834-3321
Mailing address
157 CLINIC AVE STE 201, CARROLLTON, GA 30117-4454
(770) 214-2800
(770) 214-2803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG0644
RAIL ROAD MEDICARE
GA
Enumeration date
09/28/2006
Last updated
02/02/2024
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