Advanced Gastroenterology Group
NPI #1386670404 in Woodstock, Georgia
Provider Information
- NPI Number
- 1386670404
- Entity Type
- Organization
- Organization Name
- Advanced Gastroenterology Group
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jun 23, 2006
- Last Updated
- Apr 30, 2008
Practice Location
Authorized Official
- Name
- MRS. SHARON E JACKSON
- Title
- OFFICE MANAGER
- Phone
- (770) 509-0089
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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