Advanced Gastroenterology Group

LBN: Advanced Gastroenterology Group
Advanced Gastroenterology Group is an health care organization with primary practice located at 4595 Towne Lake Pkwy Bldg 300, Suite 200, Woodstock GA 30189-5514. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Advanced Gastroenterology Group can be contacted via phone (770) 509-0089, or through Jackson, Sharon E via phone (770) 509-0089.

Contact Information

Primary practice address
4595 Towne Lake Pkwy Bldg 300, Suite 200 Woodstock GA 30189-5514
Phone: (770) 509-0089
Fax: (678) 888-0642
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Sharon E
Phone: (770) 509-0089

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 030681 Georgia

Profile Details

NPI number 1386670404
LBN Legal business name Advanced Gastroenterology Group
DBA Doing business as Advanced Gastroenterology Group
Authorized official Jackson, Sharon E
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 30th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386670404 NPPES
Georgia Other 1447206164 NPI #

Popular Providers