| Georgia Gastroenterology Llc | |
|
1701 Magnolia Way Suite 201 Augusta GA 30909-9483 | |
| (706) 922-7777 | |
| Not Available |
| Full Name | Georgia Gastroenterology Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1701 Magnolia Way, Augusta, Georgia |
| Authorized Official Name and Position | Ayaz J. Chaudhary (OWNER) |
| Authorized Official Contact | 7069227777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Gastroenterology Llc 1701 Magnolia Way Suite 201 Augusta GA 30909-9483 Ph: (706) 922-7777 | Georgia Gastroenterology Llc 1701 Magnolia Way Suite 201 Augusta GA 30909-9483 Ph: (706) 922-7777 |
| NPI Number | 1477712115 |
|---|---|
| Provider Enumeration Date | 06/07/2008 |
| Last Update Date | 06/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477712115 | NPI | - | NPPES |
| 000898433C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 044896 (Georgia) | Primary |
| 261Q00000X | Clinic/center | 044896 (Georgia) | Secondary |
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