# GASTROENTEROLOGY ASSOCIATES OF DUBLIN LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629441613
- **Legal business name:** SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
- **Authorized official:** TONY M O'STEEN (CFO VP FINANCE)
- **Authorized official phone:** (912) 538-5314

## Contact information

- **Practice address:** 104 FAIRVIEW PARK DR, DUBLIN, GA 31021-2500
- **Practice address phone:** (478) 277-1255
- **Practice address fax:** (478) 304-1467
- **Mailing address:** PO BOX 1528, DUBLIN, GA 31040-1528
- **Mailing address phone:** (478) 272-1366
- **Mailing address fax:** (478) 277-1251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 048883 | GA | Yes |

## Other

- **Enumeration date:** 11/12/2015
- **Last updated:** 08/07/2020