Coffee County Center For Digestive Diseases Llc

NPI 1043411648 - Clinic/Center - 261QA1903X

NPI Details
NPI 1043411648
Enumeration Date 05/30/2007
Last Updated 07/25/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUDHAKAR SUDHAKAR
Position OFFICER
Phone (912) 384-7276
Fax (912) 384-4353
Practice Location
300 SHIRLEY AVENUE
DOUGLAS GA, 31533, US
Phone (912) 384-7276
Fax (912) 384-4353
Business Location
300 SHIRLEY AVENUE
DOUGLAS GA, 31533, US
Phone (912) 384-7276
Fax (912) 384-4353
Toxanomy
Taxonomy Code 261QA1903X
License State Georgia
License Number 034-295
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According to our database, Coffee County Center For Digestive Diseases Llc NPI is 1043411648, taxonomy code is 261QA1903X and license number is 034-295, license state is located at Georgia. Coffee County Center For Digestive Diseases Llc physically located at 300 Shirley Avenue, Douglas GA, 31533. NPI Number 1033115704 has the healthcare provider type.

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1043411648 NPI number is provided on an as is basis without warranty of any kind. 1043411648 is maintained by the National Plan & Provider Enumeration System. The contents of Coffee County Center For Digestive Diseases Llc are for informational purposes only.