Provider Demographics
NPI:1285957167
Name:NORTH ATLANTA GASTROENTEROLOGY, P.C.
Entity type:Organization
Organization Name:NORTH ATLANTA GASTROENTEROLOGY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:CHERNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-410-1600
Mailing Address - Street 1:2500 HOSPITAL BLVD
Mailing Address - Street 2:SUITE 280
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4907
Mailing Address - Country:US
Mailing Address - Phone:770-410-1600
Mailing Address - Fax:770-410-0006
Practice Address - Street 1:2500 HOSPITAL BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4907
Practice Address - Country:US
Practice Address - Phone:770-410-1600
Practice Address - Fax:770-410-0006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA23144207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty