Middle Georgia Gastroenterology in Macon - Specialist
Middle Georgia Gastroenterology - NPI 1689885253
Middle Georgia Gastroenterology is a Specialist in Macon, Georgia. Middle Georgia Gastroenterology practices all healthcare services and medical treatments related to Specialist. The NPI Number for Middle Georgia Gastroenterology is 1689885253. The last update date is 2020-08-22.
Middle Georgia Gastroenterology's current location address is 791 Poplar St, Macon, Georgia. You can contact this provider via phone number 4787550800 and fax number 4787550807. The mailing address for Middle Georgia Gastroenterology is 791 Poplar St, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Middle Georgia Gastroenterology |
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Address | 791 Poplar St, Macon, Georgia |
Phone Number | 4787550800 |
Fax Number | 4787550807 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Ebanks S Carley |
Credentials | M.D. |
Telephone Number | 4787550800 |
NPI Number Detail
NPI Number | 1689885253 |
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Provider Enumeration Date | 2007-05-25 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 791 Poplar St |
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City | Macon |
State | Georgia (GA) |
Post Code | 312012045 |
Phone Number | 4787550800 |
Fax Number | 4787550807 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique provider identifier assigned to Middle Georgia Gastroenterology?
The Middle Georgia Gastroenterology has been issued the NPI (National Provider Identifier) 1689885253 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Middle Georgia Gastroenterology is located?
The Middle Georgia Gastroenterology is situated at the following address: 791 Poplar St, Macon, GA, 312012045.
What is Middle Georgia Gastroenterology's specialized field of practice, and what is the corresponding taxonomy classification code?
The Middle Georgia Gastroenterology's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Middle Georgia Gastroenterology receive the assignment of its 1689885253 from the Centers for Medicare & Medicaid Services?
The Middle Georgia Gastroenterology was issued its 1689885253 by the Centers for Medicare & Medicaid Services on 2007-05-25.
As of what date were the details related to Middle Georgia Gastroenterology most recently updated or revised?
The information pertaining to Middle Georgia Gastroenterology, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.