# GASTRO SOUTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790440204
- **Authorized official:** JOEL JUDAH MD (MANAGING MEMBER)
- **Authorized official phone:** (706) 495-5718

## Contact information

- **Practice address:** 240 SHERATON BLVD, MACON, GA 31210-1358
- **Practice address phone:** (706) 495-5718
- **Mailing address:** 9172 ESTES RD, MACON, GA 31220-5603
- **Mailing address phone:** (706) 495-5718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2021
- **Last updated:** 11/01/2021