THE ENDOSCOPY CENTER OF SOUTHEAST GEORGIA, INC; NPI #1265439830

Contact Information

THE ENDOSCOPY CENTER OF SOUTHEAST GEORGIA, INC

200 MAPLE DR
VIDALIA, GA 30474-8907

Phone: 912-538-1003
Fax: 912-537-9843
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for THE ENDOSCOPY CENTER OF SOUTHEAST GEORGIA, INC

NPI Number 1265439830

LBN Legal business name THE ENDOSCOPY CENTER OF SOUTHEAST GEORGIA, INC

Authorized official DIXIE CALHOUN - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/28/2005

Last updated 01/29/2014 - About 12 years ago

Identifiers

GA	License #	138082
GA	Medicaid	000590147A

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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THE ENDOSCOPY CENTER OF SOUTHEAST GEORGIA, INC

Contact Information

Specialty

Endoscopy

NPI Profile & details for THE ENDOSCOPY CENTER OF SOUTHEAST GEORGIA, INC

Reviews for THE ENDOSCOPY CENTER OF SOUTHEAST GEORGIA, INC