| NPI | 1386670404 |
|---|---|
| Doing Business As | ADVANCED GASTROENTEROLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | SHARON E JACKSON Office Manager 770-509-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: GA 030681) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-04-30 |