Organization
GEORGIA GASTROENTEROLOGY,LLC.
Active
Parent organization
GEORGIA GASTROENTEROLOGY,LLC
Other names
Georgia Gastroenterology,LLC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA GASTROENTEROLOGY,LLC
Authorized official
DR. AYAZ J CHAUDHARY M.D. (OWNER/PHYSICIAN)
(803) 226-0073
Entity
Organization
Contact information
Practice address
35 VARDEN DR, SUITE C, AIKEN, SC 29803
(706) 922-7777
(706) 922-7780
Mailing address
1701 MAGNOLIA WAY, SUITE 201, AUGUSTA, GA 30909-9483
(803) 226-0073
(803) 226-0074
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
26590
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G44896
—
SC
Enumeration date
05/25/2011
Last updated
05/27/2011
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