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General NPI Number Information
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NPI Number | 1154702652
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Entity Type | Organization
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Legal Business Name | GEORGIA BARIATRICS & SURGICAL ASSOCIATES, PC
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 06/11/2015
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Provider Practice Location Address
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Address Line | 285 BOULEVARD NE STE 440
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City | ATLANTA
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State | GA
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Zip | 30312-4213
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Country | US
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Telephone | 888-265-9908
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Fax | 888-265-5564
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Provider Business Mailing Address
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Address Line | 285 BOULEVARD NE STE 440
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City | ATLANTA
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State | GA
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Zip | 30312-4213
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Country | US
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Telephone | 888-265-9908
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Fax | 888-265-5564
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Authorized Official
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Title or Position | OWNER
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Name | DR. LARRY HOBSON
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Credential | MD
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Telephone | 888-265-9908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 042059
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License Number State | GA
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