| Atlanta Gastroenterology Specialists, Pc | |
|
4395 Johns Creek Pkwy Ste 130 Suwanee GA 30024-6125 | |
| (678) 357-0057 | |
| (678) 382-6406 |
| Full Name | Atlanta Gastroenterology Specialists, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4395 Johns Creek Pkwy Ste 130, Suwanee, Georgia |
| Authorized Official Name and Position | Bruce Andrew Salzberg (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6789570057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Gastroenterology Specialists, Pc 4395 Johns Creek Pkwy Ste 130 Suwanee GA 30024-6125 Ph: (678) 957-0057 | Atlanta Gastroenterology Specialists, Pc 4395 Johns Creek Pkwy Ste 130 Suwanee GA 30024-6125 Ph: (678) 357-0057 |
| NPI Number | 1043547912 |
|---|---|
| Provider Enumeration Date | 11/12/2009 |
| Last Update Date | 07/19/2019 |
| Medicare PECOS PAC ID | 2961545140 |
|---|---|
| Medicare Enrollment ID | O20100210000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043547912 | NPI | - | NPPES |
| 003198458A | Medicaid | GA | |
| 000424476F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 029775 (Georgia) | Primary |
| Provider Name | Bruce A Salzberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376528943 PECOS PAC ID: 5193810083 Enrollment ID: I20100210000436 |
Novo Total Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Peachtree Industrial Blvd, Suite 2203, Suwanee, GA 30024 Phone: 770-988-2779 Fax: 678-730-0229 | |
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Paul Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4355 Johns Creek Pkwy, Suite 500, Suwanee, GA 30024 Phone: 770-623-0008 Fax: 770-623-0009 | |
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