Northeast Georgia Gastroenterology Associates, Pc

NPI 1427100106 - Specialist - 174400000X

NPI Details
NPI 1427100106
Enumeration Date 01/16/2007
Last Updated 02/19/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name STEPHEN WILLIAM STEPHEN
Position PRESIDENT CEO MD
Phone (706) 208-0065
Fax (706) 549-8693
Practice Location
700 SUNSET DR
SUITE 501
ATHENS GA, 30606-2293, US
Phone (706) 208-0065
Fax (706) 549-8693
Business Location
700 SUNSET DR
SUITE 501
ATHENS GA, 30606-2293, US
Phone (706) 208-0065
Fax (706) 549-8693
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 33231
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According to our database, Northeast Georgia Gastroenterology Associates, Pc NPI is 1427100106, taxonomy code is 174400000X and license number is 33231, license state is located at Georgia. Northeast Georgia Gastroenterology Associates, Pc physically located at 700 Sunset Dr, Athens GA, 30606-2293. NPI Number 1033115704 has the healthcare provider type.

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1427100106 NPI number is provided on an as is basis without warranty of any kind. 1427100106 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Georgia Gastroenterology Associates, Pc are for informational purposes only.