| Ga Gastro Llc | |
|
4865 Bill Gardner Pkwy Locust Grove GA 30248-3644 | |
| (404) 641-3345 | |
| Not Available |
| Full Name | Ga Gastro Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4865 Bill Gardner Pkwy, Locust Grove, Georgia |
| Authorized Official Name and Position | Aruna Reddy Prakash (ADMINISTRATOR) |
| Authorized Official Contact | 4046413345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga Gastro Llc 1100 Hospital Dr Ste 200 Stockbridge GA 30281-6381 Ph: (770) 692-0100 | Ga Gastro Llc 4865 Bill Gardner Pkwy Locust Grove GA 30248-3644 Ph: (404) 641-3345 |
| NPI Number | 1679153407 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679153407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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