South Ga Gastroenterology & Nutrition Support, Inc. in Moultrie - Gastroenterology
South Ga Gastroenterology & Nutrition Support, Inc. - NPI 1609938026
South Ga Gastroenterology & Nutrition Support, Inc. is a Gastroenterology in Moultrie, Georgia. South Ga Gastroenterology & Nutrition Support, Inc. practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for South Ga Gastroenterology & Nutrition Support, Inc. is 1609938026. The last update date is 2010-01-04.
South Ga Gastroenterology & Nutrition Support, Inc.'s current location address is 2509 S Main St, Moultrie, Georgia. You can contact this provider via phone number 2299851230 and fax number 2299851233. The mailing address for South Ga Gastroenterology & Nutrition Support, Inc. is 2509 S Main St, Moultrie, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Ga Gastroenterology & Nutrition Support, Inc. |
|---|---|
| Address | 2509 S Main St, Moultrie, Georgia |
| Phone Number | 2299851230 |
| Fax Number | 2299851233 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Cole Kay Linda |
| Credentials | CPC-RMC |
| Telephone Number | 2299851230 |
NPI Number Detail
| NPI Number | 1609938026 |
|---|---|
| Provider Enumeration Date | 2006-12-14 |
| Last Updated Date | 2010-01-04 |
Provider Mailing Address Detail
| Address | 2509 S Main St |
|---|---|
| City | Moultrie |
| State | Georgia (GA) |
| Post Code | 317686530 |
| Phone Number | 2299851230 |
| Fax Number | 2299851233 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 46662 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000810939B | GA | -- | |
| 100012828 | GA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to South Ga Gastroenterology & Nutrition Support, Inc. by the Centers for Medicare & Medicaid Services?
The South Ga Gastroenterology & Nutrition Support, Inc. has been issued the NPI (National Provider Identifier) 1609938026. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where South Ga Gastroenterology & Nutrition Support, Inc. is physically located?
The South Ga Gastroenterology & Nutrition Support, Inc. is physically situated at the following address: 2509 S Main St, Moultrie, GA, 317686530.
What is South Ga Gastroenterology & Nutrition Support, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Ga Gastroenterology & Nutrition Support, Inc. is Gastroenterology, and the taxonomy code that categorizes this field of expertise is 207Rg0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609938026 to South Ga Gastroenterology & Nutrition Support, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1609938026 to South Ga Gastroenterology & Nutrition Support, Inc. on 2006-12-14.
As of what date were the South Ga Gastroenterology & Nutrition Support, Inc.'s details last updated?
The information pertaining to the South Ga Gastroenterology & Nutrition Support, Inc., including its address, specialty, and other details, was most recently updated on 2010-01-04.