Northeast Georgia Gastroenterology Associates, PC

NPI #1427100106 in Athens, Georgia

Provider Information

NPI Number: 1427100106
Entity Type: Organization
Organization Name: Northeast Georgia Gastroenterology Associates, PC
Primary Specialty: Specialist
Enumeration Date: Jan 16, 2007
Last Updated: Feb 19, 2010

Practice Location

Address: 700 SUNSET DR
Address 2: SUITE 501
City: Athens
State: Georgia
ZIP Code: 30606-2293
Phone: (706) 208-0065

Authorized Official

Name: DR. STEPHEN WILLIAM WILDE, MD
Title: PRESIDENT CEO MD
Phone: (706) 208-0065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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