Organization
GASTROENTEROLOGY OF AUGUSTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BOWLES (GENERAL MANAGER)
(706) 868-0131
Entity
Organization
Contact information
Practice address
2258 WRIGHTSBORO RD STE 401, AUGUSTA, GA 30904-4788
(706) 481-7584
(706) 481-7220
Mailing address
PO BOX 3545, AUGUSTA, GA 30914-3545
(706) 868-0131
(706) 854-0131
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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