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15 Reinhardt College Pkwy Ste 104 Canton GA 30114-5259 | |
(770) 704-6988 | |
(770) 720-8775 |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 15 Reinhardt College Pkwy Ste 104, Canton, Georgia |
Authorized Official Name and Position | Shelly M Robinson (DIRECTOR RNC) |
Authorized Official Contact | 4046033543 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3280 Howell Mill Rd Nw Ste T100 Atlanta GA 30327-4122 Ph: (404) 603-3543 | 15 Reinhardt College Pkwy Ste 104 Canton GA 30114-5259 Ph: (770) 704-6988 |
NPI Number | 1477978799 |
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Provider Enumeration Date | 02/24/2014 |
Last Update Date | 12/16/2024 |
Identifier | Type | State | Issuer |
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1477978799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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