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EAGLES LANDING GASTROENTEROLOGY P.C. NPI 1154605590


NPI Information

NPI: 1154605590
Provider Name: EAGLES LANDING GASTROENTEROLOGY P.C.

Former Legal Business Name: KHALID JALIL M.D.P.C.

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1008 HOSPITAL DR
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 389-9642
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EAGLES LANDING GASTROENTEROLOGY P.C. is a specialist in Stockbridge, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EAGLES LANDING GASTROENTEROLOGY P.C. NPI is 1154605590. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Khalid Jalil M.d.p.c..

The provider's business location address is:

1008 HOSPITAL DR
STOCKBRIDGE, GA
ZIP 30281-384
Phone: (770) 389-9642
Fax: (770) 389-9207

The provider's authorized official is Khalid Jalil .
The authorized official title is Physician/pres-corporation and has the following contact phone number (770) 389-9642.

The enumeration date for this NPI number is 10/4/2011 and was last updated on 10/4/2011.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist039829GEORGIAYes

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: 5/5/2024

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