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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Endoscopy |
261QE0800X |
| NPI Number | 1487639100 |
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| LBN Legal business name | NORTH FULTON DIAGNOSTIC GASTROINTESTINAL CENTER | ||||
| Authorized official | JANA BAKER - (ADMINISTRATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/15/2005 | ||||
| Last updated | 08/24/2011 - About 15 years ago | ||||
| Identifiers |
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NORTH FULTON DIAGNOSTIC GASTROINTESTINAL CENTER