Organization
GASTRO SOUTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL JUDAH MD (MANAGING MEMBER)
(706) 495-5718
Entity
Organization
Contact information
Practice address
240 SHERATON BLVD, MACON, GA 31210-1358
(706) 495-5718
Mailing address
9172 ESTES RD, MACON, GA 31220-5603
(706) 495-5718
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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