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Organization
SOUTHERN GASTROENTEROLOGY ENDOSCOPY CENTER, P.C.
Active
Organization
SOUTHERN GASTROENTEROLOGY ENDOSCOPY CENTER, P.C.
Active
Other names
SOUTHERN GASTROENTEROLOGY ASSOCIATES, PC
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J LUEDTKE (PRACTICE MANAGER)
(434) 572-8196
Entity
Organization
Contact information
Practice address
149 AUBREY'S LOOP, SOUTH BOSTON, VA 24592
(434) 572-8196
(434) 572-8341
Mailing address
149 AUBREYS LOOP, SOUTH BOSTON, VA 24592-5056
(434) 572-2810
(434) 255-0018
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
08/06/2025
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