| Atlanta Center For Gastroenterology, P.c. | |
|
2665 N Decatur Rd Suite 550 Decatur GA 30033-6149 | |
| (404) 296-1986 | |
| Not Available |
| Full Name | Atlanta Center For Gastroenterology, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2665 N Decatur Rd, Decatur, Georgia |
| Authorized Official Name and Position | David Benjamin Rausher (OWNER) |
| Authorized Official Contact | 4042961986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Center For Gastroenterology, P.c. 2665 N Decatur Rd Suite 550 Decatur GA 30033-6149 Ph: (404) 296-1986 | Atlanta Center For Gastroenterology, P.c. 2665 N Decatur Rd Suite 550 Decatur GA 30033-6149 Ph: (404) 296-1986 |
| NPI Number | 1942313309 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7214097930 |
|---|---|
| Medicare Enrollment ID | O20081125000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942313309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Georgia) | Primary |
| Provider Name | David B Rausher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588653976 PECOS PAC ID: 1759441470 Enrollment ID: I20120111000243 |
| Provider Name | Charles C Parrish |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861481400 PECOS PAC ID: 5991944597 Enrollment ID: I20130612000240 |
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