Eagles Landing Gastroenterology P.c.
NPI #1154605590 in Stockbridge, Georgia
Provider Information
- NPI Number
- 1154605590
- Entity Type
- Organization
- Organization Name
- Eagles Landing Gastroenterology P.c.
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 4, 2011
- Last Updated
- Oct 4, 2011
Practice Location
- Address
- 1008 HOSPITAL DR
- City
- Stockbridge
- State
- Georgia
- ZIP Code
- 30281-7384
- Phone
- (770) 389-9642
Authorized Official
- Name
- DR. KHALID JALIL, M.D., M.P.H.
- Title
- PHYSICIAN/PRES-CORPORATION
- Phone
- (770) 389-9642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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