| Gastroenterology Of North Georgia Llc | |
|
960 Johnson Ferry Rd Suite 515 Atlanta GA 30342-1611 | |
| (404) 252-7703 | |
| (404) 252-8863 |
| Full Name | Gastroenterology Of North Georgia Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 960 Johnson Ferry Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Agnes Han (OWNER) |
| Authorized Official Contact | 4042527703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Of North Georgia Llc 960 Johnson Ferry Rd Suite 515 Atlanta GA 30342-1611 Ph: (404) 252-7703 | Gastroenterology Of North Georgia Llc 960 Johnson Ferry Rd Suite 515 Atlanta GA 30342-1611 Ph: (404) 252-7703 |
| NPI Number | 1326002825 |
|---|---|
| Provider Enumeration Date | 04/13/2006 |
| Last Update Date | 12/27/2010 |
| Medicare PECOS PAC ID | 0749212413 |
|---|---|
| Medicare Enrollment ID | O20050901000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326002825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Agnes H Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1841268364 PECOS PAC ID: 2769412857 Enrollment ID: I20050818000230 |
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