| Therapeutic Gi Associates, Llc | |
|
3925 Peachtree Rd Ne Ste 200 Brookhaven GA 30319-2982 | |
| (770) 400-9186 | |
| (404) 909-8665 |
| Full Name | Therapeutic Gi Associates, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3925 Peachtree Rd Ne Ste 200, Brookhaven, Georgia |
| Authorized Official Name and Position | Kevin Edwin Woods (PHYSICIAN) |
| Authorized Official Contact | 7704009186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Gi Associates, Llc Po Box 98010 Atlanta GA 30359-1710 Ph: (770) 400-9186 | Therapeutic Gi Associates, Llc 3925 Peachtree Rd Ne Ste 200 Brookhaven GA 30319-2982 Ph: (770) 400-9186 |
| NPI Number | 1477199347 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 05/14/2021 |
| Medicare PECOS PAC ID | 0244631117 |
|---|---|
| Medicare Enrollment ID | O20210629003033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477199347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Christopher Shaw |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750366332 PECOS PAC ID: 2769679554 Enrollment ID: I20101206000821 |
| Provider Name | Kevin E Woods |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851437065 PECOS PAC ID: 9133377013 Enrollment ID: I20120918000891 |
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