Organization Name: | GASTROENTEROLOGY ASSOCIATES OF CENTRAL GA, LLC |
NPI Number: | 1528192176 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDY K ALBRYCHT (ADMINISTRATIVE ASSISTANT) |
Mailing Address: | 610 3rd St Suite 206 Macon |
State: | GA US |
Postal Code: | 312013294 |
Phone Number: | 4784642600 |
Fax Number: | 4784642604 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |