| Gastroenterology Consultants Pc | |
|
11685 Alpharetta Hwy Ste 320 Roswell GA 30076-4910 | |
| (770) 442-5882 | |
| (770) 754-9749 |
| Full Name | Gastroenterology Consultants Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11685 Alpharetta Hwy Ste 320, Roswell, Georgia |
| Authorized Official Name and Position | Meredith Thomas Riddick (MANAGING PARTNER) |
| Authorized Official Contact | 7704425882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants Pc 11685 Alpharetta Hwy Ste 320 Roswell GA 30076-4910 Ph: (770) 442-5882 | Gastroenterology Consultants Pc 11685 Alpharetta Hwy Ste 320 Roswell GA 30076-4910 Ph: (770) 442-5882 |
| NPI Number | 1568546380 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 03/04/2020 |
| Medicare PECOS PAC ID | 8628063633 |
|---|---|
| Medicare Enrollment ID | O20040419001066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568546380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Jay A Cherner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083615215 PECOS PAC ID: 6103953518 Enrollment ID: I20100415000928 |
| Provider Name | Melvin Dana Bullock |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093869786 PECOS PAC ID: 9335287176 Enrollment ID: I20100524000708 |
| Provider Name | M. Thomas Riddick |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285726349 PECOS PAC ID: 4688857121 Enrollment ID: I20110322000281 |
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