| Gastro Specialists Research Center, LLC | |
|
3292 Mountain Dr Suite A Decatur GA 30032-1102 | |
| (404) 294-8180 | |
| (404) 294-8188 |
| Full Name | Gastro Specialists Research Center, LLC |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3292 Mountain Dr, Decatur, Georgia |
| Authorized Official Name and Position | Shirley a Harris (PRESIDENT) |
| Authorized Official Contact | 4042948180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastro Specialists Research Center, LLC 3292 Mountain Dr Suite A Decatur GA 30032-1102 Ph: (404) 294-8180 | Gastro Specialists Research Center, LLC 3292 Mountain Dr Suite A Decatur GA 30032-1102 Ph: (404) 294-8180 |
| NPI Number | 1952671984 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 01/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952671984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 041305 (Georgia) | Primary |
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