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Organization

NORTHEAST GEORGIA GASTROENTEROLOGY ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN WILLIAM WILDE MD (PRESIDENT CEO MD)
(706) 208-0065
Entity
Organization

Contact information

Practice address
700 SUNSET DR, SUITE 501, ATHENS, GA 30606-2293
(706) 208-0065
(706) 549-8693
Mailing address
700 SUNSET DR, SUITE 501, ATHENS, GA 30606-2293
(706) 208-0065
(706) 549-8693

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33231
GA

Other

Enumeration date
01/16/2007
Last updated
02/19/2010
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