South Ga Gastroenterology & Nutrition Support, Inc.

NPI #1609938026 in Moultrie, Georgia

Provider Information

NPI Number
1609938026
Entity Type
Organization
Organization Name
South Ga Gastroenterology & Nutrition Support, Inc.
Primary Specialty
Internal Medicine - Gastroenterology
Enumeration Date
Dec 14, 2006
Last Updated
Jan 4, 2010

Practice Location

Address
2509 S MAIN ST
State
Georgia
ZIP Code
31768-6530
Phone
(229) 985-1230

Authorized Official

Name
MRS. LINDA KAY COLE, CPC-RMC
Title
PRACTICE MANAGER
Phone
(229) 985-1230

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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