Organization
SOUTHEASTERN ENDOSCOPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE DARRAH (CEO)
(706) 326-6743
Entity
Organization
Contact information
Practice address
2200 HAMILTON RD STE A, COLUMBUS, GA 31904-8889
(706) 655-8800
Mailing address
PO BOX 8629, COLUMBUS, GA 31908-8629
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/19/2022
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