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NORTH GEORGIA COLON AND RECTAL SURGERY LLC NPI 1255562948


NPI Information

NPI: 1255562948
Provider Name: NORTH GEORGIA COLON AND RECTAL SURGERY, LLC
Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
3890 JOHNS CREEK PKWY
SUITE 320
SUWANEE, GA
ZIP 30024
Phone: (678) 954-8538
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NORTH GEORGIA COLON AND RECTAL SURGERY, LLC is a colon rectal surgery in Suwanee, GA. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. NORTH GEORGIA COLON AND RECTAL SURGERY, LLC NPI is 1255562948. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3890 JOHNS CREEK PKWY
SUITE 320
SUWANEE, GA
ZIP 30024-284
Phone: (678) 954-8538

The provider's authorized official is E Earl Pennington .
The authorized official title is Member and has the following contact phone number (678) 954-8538.

The enumeration date for this NPI number is 7/29/2009 and was last updated on 9/25/2013.


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
1208C00000XColon & Rectal Surgery015299GEORGIAYes

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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