East Georgia Gastroenterology Center

LBN: Cesar Clinic, Llc
East Georgia Gastroenterology Center is an health care organization with primary practice located at 1497 Fair Rd Suite 201, Statesboro GA 30458-0822. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Cesar Clinic, Llc can be contacted via phone (912) 871-8500, or through Cesar, Rose L via phone (912) 871-8500.

Contact Information

Primary practice address
1497 Fair Rd Suite 201 Statesboro GA 30458-0822
Fax: (912) 871-8508
Website:
Authorized official contact:
Name: Cesar, Rose L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F63922 Georgia

Profile Details

NPI number 1043352958
LBN Legal business name Cesar Clinic, Llc
DBA Doing business as East Georgia Gastroenterology Center
Authorized official Cesar, Rose L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated May 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043352958 NPPES
Georgia MEDICAID 00867974A

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