Colquitt Regional Gastroenterology, Llc

LBN: Colquitt Regional Gastroenterology, Llc
Colquitt Regional Gastroenterology, Llc is an health care organization with primary practice located at 4 Live Oak Ct , Moultrie GA 31768-6783. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Colquitt Regional Gastroenterology, Llc can be contacted via phone (229) 785-2400, or through Mcgowan, Ashley Carl via phone (229) 891-9365.

Contact Information

Primary practice address
4 Live Oak Ct Moultrie GA 31768-6783
Phone: (229) 785-2400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcgowan, Ashley Carl
Phone: (229) 891-9365

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X Georgia

Profile Details

NPI number 1225358294
LBN Legal business name Colquitt Regional Gastroenterology, Llc
DBA Doing business as
Authorized official Mcgowan, Ashley Carl
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2010
Last updated Jul 28th, 2023 - about last year

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 1225358294 NPPES
Georgia Other 202G700219 MEDICARE GROUP PTAN

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