Ga Gastro LLC
NPI #1679153407 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1679153407
- Entity Type
- Organization
- Organization Name
- Ga Gastro LLC
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Apr 14, 2021
- Last Updated
- Apr 14, 2021
Practice Location
- Address
- 4865 BILL GARDNER PKWY
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-3644
- Phone
- (404) 641-3345
Authorized Official
- Name
- ARUNA REDDY PRAKASH
- Title
- ADMINISTRATOR
- Phone
- (404) 641-3345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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