Provider Demographics
NPI:1154702652
Name:GEORGIA BARIATRICS & SURGICAL ASSOCIATES, PC
Entity type:Organization
Organization Name:GEORGIA BARIATRICS & SURGICAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:888-265-9908
Mailing Address - Street 1:285 BOULEVARD NE STE 440
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-4213
Mailing Address - Country:US
Mailing Address - Phone:888-265-9908
Mailing Address - Fax:888-265-5564
Practice Address - Street 1:285 BOULEVARD NE STE 440
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-4213
Practice Address - Country:US
Practice Address - Phone:888-265-9908
Practice Address - Fax:888-265-5564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-11
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA042059208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty