Cartersville Gastrointestinal & Hepatobiliary Specialist

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

61740 Issued in GA

Legal business name

CARTERSVILLE GASTROINTESTINAL & HEPATOBILIARY SPECIALIST

Practice address

962 Joe Frank Harris Pkwy
Suite 105
Cartersville, GA 30120

Phone

(678) 721-6556

Fax

(678) 721-6553

NPI assigned

Oct 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Salma Gill

Title

Practice Administrator

Phone

(678) 721-6556

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1356651434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 JOE FRANK HARRIS PKWY SE",
            "address_2": "SUITE 105",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202154",
            "telephone_number": "678-721-6556",
            "fax_number": "678-721-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 JOE FRANK HARRIS PKWY",
            "address_2": "SUITE 105",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "678-721-6556",
            "fax_number": "678-721-6553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERSVILLE GASTROINTESTINAL & HEPATOBILIARY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "SALMA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "678-721-6556"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "61740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.