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GASTROINTESTINAL SPECIALIST OF GEORGIA NPI 1801975339


NPI Information

NPI: 1801975339
Provider Name: GASTROINTESTINAL SPECIALIST OF GEORGIA
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 11D0254924

Address:
711 CANTON RD NE
SUITE 300
MARIETTA, GA
ZIP 30060
Phone: (678) 741-5000
Get Directions

GASTROINTESTINAL SPECIALIST OF GEORGIA is a gastroenterology internal medicine in Marietta, GA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GASTROINTESTINAL SPECIALIST OF GEORGIA NPI is 1801975339. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

711 CANTON RD NE
SUITE 300
MARIETTA, GA
ZIP 30060-948
Phone: (678) 741-5000
Fax: (770) 944-4522

The provider's authorized official is Arif Aziz .
The authorized official title is Managing Partner and has the following contact phone number (678) 741-2317.

The CLIA number assigned to this NPI record is 11D0254924 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/7/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP2201MEDICARE PINGEORGIA
2300031375AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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