Organization
DUBLIN GASTROENTEROLOGY ASSOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN K BARR (ADMINISTRATOR)
(478) 272-1366
Entity
Organization
Contact information
Practice address
104 FAIRVIEW PARK DR, DUBLIN, GA 31021-2500
(478) 277-1255
(478) 304-1467
Mailing address
PO BOX 1925, DUBLIN, GA 31040-1925
(478) 277-1255
(478) 304-1467
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003109888A
—
GA
Enumeration date
04/30/2010
Last updated
12/04/2015
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