Jack Ralph Koransky in Marietta - Gastroenterology
Jack Ralph Koransky - NPI 1780669721
Jack Ralph Koransky is a Gastroenterology in Marietta, Georgia. Jack Ralph Koransky practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jack Ralph Koransky is 1780669721. The last update date is 2011-04-08.
Jack Ralph Koransky's current location address is 711 Canton Rd Ne, Marietta, Georgia. You can contact this provider via phone number 7704290031 and fax number 6788194299. The mailing address for Jack Ralph Koransky is 711 Canton Rd Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Ralph Koransky |
|---|---|
| Address | 711 Canton Rd Ne, Marietta, Georgia |
| Phone Number | 7704290031 |
| Fax Number | 6788194299 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1780669721 |
|---|---|
| Provider Enumeration Date | 2005-12-13 |
| Last Updated Date | 2011-04-08 |
Provider Mailing Address Detail
| Address | 711 Canton Rd Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300608948 |
| Phone Number | 7704290031 |
| Fax Number | 6788194299 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 16810 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00185248D | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Ralph Koransky by the Centers for Medicare & Medicaid Services?
The Jack Ralph Koransky has been issued the NPI (National Provider Identifier) 1780669721 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jack Ralph Koransky is physically located?
The Jack Ralph Koransky is physically situated at the following address: 711 Canton Rd Ne, Marietta, GA, 300608948.
What is Jack Ralph Koransky's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jack Ralph Koransky is Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 207Rg0100X.
On what date did Jack Ralph Koransky receive its 1780669721 assignment from the Centers for Medicare & Medicaid Services?
The Jack Ralph Koransky was assigned its 1780669721 on 2005-12-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jack Ralph Koransky's details last updated?
The information pertaining to the Jack Ralph Koransky, including its address, specialty, and other details, was most recently updated on 2011-04-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY