Central Georgia Gastroenterology, LLC

NPI #1285925941 in Macon, Georgia

Provider Information

NPI Number: 1285925941
Entity Type: Organization
Organization Name: Central Georgia Gastroenterology, LLC
Primary Specialty: Specialist
Enumeration Date: Apr 28, 2011
Last Updated: Jun 1, 2011

Practice Location

Address: 791 POPLAR ST
City: Macon
State: Georgia
ZIP Code: 31201-2045
Phone: (478) 474-1769

Authorized Official

Name: MS. LESLIE DIXON
Title: BILLING OFFICE MANAGER
Phone: (478) 474-1769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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