| Gi North Pc | |
|
1505 Northside Blvd Suite 1800 Cumming GA 30041 | |
| (404) 446-0600 | |
| (404) 446-0601 |
| Full Name | Gi North Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1505 Northside Blvd, Cumming, Georgia |
| Authorized Official Name and Position | Simon Robert Cofrancesco (OWNER/M.D.) |
| Authorized Official Contact | 4044460600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi North Pc 1505 Northside Blvd Suite 1800 Cumming GA 30041 Ph: (404) 446-0600 | Gi North Pc 1505 Northside Blvd Suite 1800 Cumming GA 30041 Ph: (404) 446-0600 |
| NPI Number | 1750689964 |
|---|---|
| Provider Enumeration Date | 03/11/2011 |
| Last Update Date | 03/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750689964 | NPI | - | NPPES |
| PENDING | Medicaid | GA | |
| 62826 | Other | GA | MEDICAL LICENSE |
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