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Ga Gastro LLC

Organization Active NPI Gastroenterology Physician · Locust Grove, GA

NPI 1679153407 · NPPES record last updated Apr 14, 2021

Key facts

NPI
1679153407
Entity type
Organization (NPI type 2)
Primary specialty
Gastroenterology Physician 207RG0100X
Legal business name
GA GASTRO LLC
Practice address
4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone
(404) 641-3345
NPI assigned
Apr 14, 2021
Organization subpart
No

Authorized official

Name
Aruna Reddy Prakash
Title
Administrator
Phone
(404) 641-3345

National Provider Directory

Locations

1502 W 3rd St
Ste C
Jackson, GA 30233
Phone (770) 692-0100

1100 Hospital Dr
Ste 200
Stockbridge, GA 30281
Phone (770) 692-0100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RG0100X Yes

Addresses

Primary practice location

4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644

Mailing address

1100 Hospital Dr Ste 200
Stockbridge, GA 30281-6381
Phone (770) 692-0100

Other practice location 1

1502 W 3rd St Ste C
Jackson, GA 30233-1979
Phone (770) 692-0100

Other practice location 2

1100 Hospital Dr Ste 200
Stockbridge, GA 30281-6381
Phone (770) 692-0100

Other practice location 3

6555 Professional Pl Ste B
Riverdale, GA 30274-4903
Phone (404) 641-3345

Other providers in Locust Grove, GA

All providers in Locust Grove, GA · Gastroenterology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.