| University Gastroenterology | |
|
820 Saint Sebastian Way Ste 2f Augusta GA 30901-2636 | |
| (706) 774-5790 | |
| (706) 774-5763 |
| Full Name | University Gastroenterology |
|---|---|
| Speciality | Internal Medicine |
| Location | 820 Saint Sebastian Way Ste 2f, Augusta, Georgia |
| Authorized Official Name and Position | Dave Belkoski (CFO, VP) |
| Authorized Official Contact | 7067747263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Gastroenterology Po Box 1705 Augusta GA 30903-1705 Ph: (706) 774-7263 | University Gastroenterology 820 Saint Sebastian Way Ste 2f Augusta GA 30901-2636 Ph: (706) 774-5790 |
| NPI Number | 1922407162 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 08/14/2014 |
| Medicare PECOS PAC ID | 8527289560 |
|---|---|
| Medicare Enrollment ID | O20141016001517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922407162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Rakhi Kheraj |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376708586 PECOS PAC ID: 6002050838 Enrollment ID: I20141016001170 |
| Provider Name | Kimberly Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609227628 PECOS PAC ID: 6103107107 Enrollment ID: I20200323002413 |
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