Organization
CESAR CLINIC, LLC
Active
Other names
East Georgia Gastroenterology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE L CESAR M.D. (OWNER)
(912) 871-8500
Entity
Organization
Contact information
Practice address
1497 FAIR RD, SUITE 201, STATESBORO, GA 30458-0822
(912) 871-8500
(912) 871-8508
Mailing address
1497 FAIR RD, SUITE 201, STATESBORO, GA 30458-0822
(912) 871-8500
(912) 871-8508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F63922
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00867974A
—
GA
Enumeration date
02/14/2007
Last updated
05/29/2008
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