Organization
SOUTHEASTERN GASTROENTEROLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE B DARRAH MD (CEO)
(706) 243-4500
Entity
Organization
Contact information
Practice address
2200 HAMILTON RD STE B, COLUMBUS, GA 31904-8856
(706) 655-8800
(706) 940-4764
Mailing address
PO BOX 8629, COLUMBUS, GA 31908-8629
(706) 655-8800
(706) 940-4764
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
Other
Enumeration date
04/27/2022
Last updated
08/24/2022
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