Organization
GASTROENTEROLOGY INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M HATHAWAY JR. MD (OWNER)
(912) 681-6944
Entity
Organization
Contact information
Practice address
114 HILL POND LN, STATESBORO, GA 30458-0872
(912) 681-6944
(912) 681-8744
Mailing address
114 HILL POND LN, STATESBORO, GA 30458-0872
(912) 681-6944
(912) 681-8744
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000900501G
—
GA
Enumeration date
03/24/2010
Last updated
07/29/2010
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