Provider Demographics
NPI:1568546380
Name:GASTROENTEROLOGY CONSULTANTS,PC
Entity Type:Organization
Organization Name:GASTROENTEROLOGY CONSULTANTS,PC
Other - Org Name:GASTROENTEROLOGY CONSULTANTS PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:RIDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-442-5882
Mailing Address - Street 1:11685 ALPHARETTA HWY STE 320
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4910
Mailing Address - Country:US
Mailing Address - Phone:770-442-5882
Mailing Address - Fax:770-754-9749
Practice Address - Street 1:11685 ALPHARETTA HWY STE 320
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4910
Practice Address - Country:US
Practice Address - Phone:770-442-5882
Practice Address - Fax:770-754-9749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty