Provider Demographics
NPI:1780027284
Name:NORTH ATLANTA MEDICAL & DIGESTIVE CARE LLC
Entity Type:Organization
Organization Name:NORTH ATLANTA MEDICAL & DIGESTIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:H
Authorized Official - Last Name:YE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-346-0900
Mailing Address - Street 1:4020 OLD MILTON PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3424
Mailing Address - Country:US
Mailing Address - Phone:770-346-0900
Mailing Address - Fax:770-346-0902
Practice Address - Street 1:4020 OLD MILTON PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3424
Practice Address - Country:US
Practice Address - Phone:770-346-0900
Practice Address - Fax:770-346-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-15
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA66110261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care