Organization
VALDOSTA ENDOSCOPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC M WARD MD (PHYSICIAN)
(229) 244-1570
Entity
Organization
Contact information
Practice address
410 CONNELL RD, VALDOSTA, GA 31602-1407
(229) 244-1570
(229) 247-1084
Mailing address
410 CONNELL RD, VALDOSTA, GA 31602-1407
(229) 244-1570
(229) 247-1084
Taxonomy
Speciality
Code
Description
License number
State
261QE0800X
Endoscopy Clinic/Center
Primary
092-243
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000960473A
—
GA
Enumeration date
06/19/2006
Last updated
06/08/2012
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