ADVANCED GASTROENTEROLOGY GROUP
Managed Care Organizations in Holly Springs, GA

License number
Georgia 030681
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: MRS. SHARON E JACKSON
Title: OFFICE MANAGER
Phone: (770) 509-0089
Address
Address
4595 Towne Lake Pkwy Bldg 300 SUITE 200, Holly Springs, GA 30189
National Provider ID: 1386670404
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ADVANCED GASTROENTEROLOGY GROUP at bizstanding.com

ADVANCED GASTROENTEROLOGY GROUP, PC

Marietta, GA  -  Holly Springs, GA

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Advanced Gastro Group
Registration:
Apr 29, 2004
Addresses:
4232 Kessler Rdg Dr, Marietta, GA 30062 (Physical)
4595 Twn Lk Pkwy, Holly Springs, GA 30189
State ID:
0425570
Business type:
Domestic Professional Corporation
Office Managers:
Jon V.trankina (CEO), 4232 Kessler Rdg Dr, Marietta, GA 30062 (Physical),Jo Kimberly Trankina (Secretary), 4232 Kessler Rdg Dr, Marietta, GA 30062 (Physical),Sharon E. Jackson Manager, Office Manager, Principal, inactive,...
Agent:
Keith D. Bodoh,990 Cobb Pkwy N #205, Marietta, GA 30062 (Physical)

Managed Care Organizations licenses in Georgia






Other Doctors licenses in Georgia