| Dublin Gastroenterology Assoc, Llc | |
|
104 Fairview Park Dr Dublin GA 31021-2500 | |
| (478) 277-1255 | |
| (478) 304-1467 |
| Full Name | Dublin Gastroenterology Assoc, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 104 Fairview Park Dr, Dublin, Georgia |
| Authorized Official Name and Position | Ellen K Barr (ADMINISTRATOR) |
| Authorized Official Contact | 4782721366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dublin Gastroenterology Assoc, Llc Po Box 1925 Dublin GA 31040-1925 Ph: (478) 277-1255 | Dublin Gastroenterology Assoc, Llc 104 Fairview Park Dr Dublin GA 31021-2500 Ph: (478) 277-1255 |
| NPI Number | 1477870327 |
|---|---|
| Provider Enumeration Date | 04/30/2010 |
| Last Update Date | 12/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477870327 | NPI | - | NPPES |
| 003109888A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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