SOUTHERN GASTROENTEROLOGY ENDOSCOPY CENTER, P.C.; NPI #1265137517

Contact Information

SOUTHERN GASTROENTEROLOGY ENDOSCOPY CENTER, P.C.

149 AUBREY'S LOOP
SOUTH BOSTON, VA 24592

Phone: 434-572-8196
Fax: 434-572-8341
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for SOUTHERN GASTROENTEROLOGY ENDOSCOPY CENTER, P.C.

NPI #	`1265137517`
LBN Legal business name	SOUTHERN GASTROENTEROLOGY ENDOSCOPY CENTER, P.C.
Authorized official	SUSAN LUEDTKE - (PRACTICE MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/04/2023
Last updated	08/06/2025 - About 10 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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