Organization
MIDDLE GEORGIA COLORECTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANKUR GOEL M.D. (REGISTERED AGENT)
(478) 333-5150
Entity
Organization
Contact information
Practice address
109 OSIGIAN BLVD, SUITE 200, WARNER ROBINS, GA 31088-8922
(478) 333-5150
(478) 333-5458
Mailing address
109 OSIGIAN BLVD, SUITE 200, WARNER ROBINS, GA 31088-8922
(478) 333-5150
(478) 333-5458
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
073513
GA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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