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Organization

ENDOSCOPY CENTER OF MIDDLE GEORGIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SARAH GIBBERT (ADMINISTRATOR)
(478) 464-2600
Entity
Organization

Contact information

Practice address
610 THIRD STREET, MACON, GA 31201
(478) 464-2600
(478) 738-9740
Mailing address
610 THIRD STREET, MACON, GA 31201
(478) 464-2600
(478) 738-9740

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
011294
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
720442190A
GA
Enumeration date
01/03/2006
Last updated
08/07/2014
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