The Endoscopy Center Of Southeast Georgia, Inc

LBN: The Endoscopy Center Of Southeast Georgia, Inc
The Endoscopy Center Of Southeast Georgia, Inc is an health care organization with primary practice located at 200 Maple Dr , Vidalia GA 30474-8907. The organization recently has only one registered license in Ambulatory Health Care Facilities / Endoscopy, which is considered as the primary health care specialty. The Endoscopy Center Of Southeast Georgia, Inc can be contacted via phone (912) 538-1003, or through Calhoun, Dixie Louise via phone (912) 538-1003.

Contact Information

Primary practice address
200 Maple Dr Vidalia GA 30474-8907
Phone: (912) 538-1003
Fax: (912) 537-9843
Website:
Map and Directions
Authorized official contact:
Name: Calhoun, Dixie Louise BSN
Phone: (912) 538-1003

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Endoscopy 261QE0800X 138082 Georgia

Profile Details

NPI number 1265439830
LBN Legal business name The Endoscopy Center Of Southeast Georgia, Inc
DBA Doing business as
Authorized official Calhoun, Dixie Louise BSN
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
Last updated Jan 29th, 2014 - about 10 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 1265439830 NPPES
Georgia MEDICAID 000590147A

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