Southern Gastroenterology Specialists, P.c

NPI #1952405052 in Locust Grove, Georgia

Provider Information

NPI Number: 1952405052
Entity Type: Organization
Organization Name: Southern Gastroenterology Specialists, P.c
Primary Specialty: Specialist
Enumeration Date: Sep 11, 2006
Last Updated: Nov 12, 2010

Practice Location

Address: 4865 BILL GARDNER PKWY
City: Locust Grove
State: Georgia
ZIP Code: 30248-3644
Phone: (770) 692-0100

Authorized Official

Name: ARUNA R PRAKASH, B.SC
Title: SECRETORY
Phone: (770) 692-0100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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