Organization
SOUTH GEORGIA ENDOSCOPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOHAIL A CHOUDHRI M.D. (OWNER)
(912) 285-0877
Entity
Organization
Contact information
Practice address
1501 ALICE ST, WAYCROSS, GA 31501-4530
(912) 285-0877
(912) 287-0387
Mailing address
1501 ALICE ST, WAYCROSS, GA 31501-4530
(912) 285-0877
(912) 287-0387
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
148228
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00539459C
—
GA
Enumeration date
08/18/2006
Last updated
01/02/2013
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