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NORTHEAST ATLANTA ASSOCIATES IN GASTROENTEROLOGY NPI 1497958409


NPI Information

NPI: 1497958409
Provider Name: NORTHEAST ATLANTA ASSOCIATES IN GASTROENTEROLOGY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1459 MONTREAL RD
SU 204
TUCKER, GA
ZIP 30084
Phone: (770) 939-4721
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NORTHEAST ATLANTA ASSOCIATES IN GASTROENTEROLOGY is a specialist in Tucker, 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. NORTHEAST ATLANTA ASSOCIATES IN GASTROENTEROLOGY NPI is 1497958409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1459 MONTREAL RD
SU 204
TUCKER, GA
ZIP 30084-900
Phone: (770) 939-4721
Fax: (770) 939-1187

The provider's authorized official is Ralph Robert Beton .
The authorized official title is President and has the following contact phone number (770) 939-4721.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 8/22/2020.


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
1174400000XSpecialistYes

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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