Northeast Atlanta Associates In Gastroenterology
Specialist in Tucker, GA. Organization (NPI-2).
NPI number1497958409
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1497958409
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Atlanta Associates In Gastroenterology
- Organization subpart
- No
- Enumeration date
- Jun 7, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
1459 Montreal RdSu 204
Tucker, GA 30084-6900
Phone 770-939-4721 · Fax 770-939-1187
Mailing address
1459 Montreal RdSu 204
Tucker, GA 30084-6926
Phone 770-939-4721 · Fax 770-939-1187
Authorized official
Ralph Robert Beton
President
7709394721
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