| Gastro Consultants Of Atlanta Pc | |
|
5669 Peachtree Dunwoody Rd Ste 270 Atlanta GA 30342-1786 | |
| (404) 255-1000 | |
| (404) 847-0416 |
| Full Name | Gastro Consultants Of Atlanta Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5669 Peachtree Dunwoody Rd Ste 270, Atlanta, Georgia |
| Authorized Official Name and Position | Alan M Fixelle (OWNER/PHYSICIAN) |
| Authorized Official Contact | 4042551000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Consultants Of Atlanta Pc 5669 Peachtree Dunwoody Rd Ste 270 Atlanta GA 30342-1786 Ph: (404) 255-1000 | Gastro Consultants Of Atlanta Pc 5669 Peachtree Dunwoody Rd Ste 270 Atlanta GA 30342-1786 Ph: (404) 255-1000 |
| NPI Number | 1730741448 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/02/2019 |
| Medicare PECOS PAC ID | 7517399306 |
|---|---|
| Medicare Enrollment ID | O20191115002952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730741448 | NPI | - | NPPES |
| 000310516E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Alan M Fixelle |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851319164 PECOS PAC ID: 3779500426 Enrollment ID: I20051101000571 |
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