Pediatric Gastroenterology Associates

NPI #1801903232 in Decatur, Georgia

Provider Information

NPI Number: 1801903232
Entity Type: Organization
Organization Name: Pediatric Gastroenterology Associates
Primary Specialty: Specialist
Enumeration Date: Aug 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 465 WINN WAY
Address 2: SUITE 215
City: Decatur
State: Georgia
ZIP Code: 30030-1753
Phone: (404) 508-5315

Authorized Official

Name: WALTER IFEADIKE, M.D.
Title: PHYSICIAN/ OWNER
Phone: (404) 508-5315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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