| Southern Gastroenterology& Hepatology Consultants Inc | |
|
300 Shirley Ave Douglas GA 31533-2332 | |
| (912) 384-7275 | |
| Not Available |
| Full Name | Southern Gastroenterology& Hepatology Consultants Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Shirley Ave, Douglas, Georgia |
| Authorized Official Name and Position | Sudhakar Jonnalagadda (OFFICER) |
| Authorized Official Contact | 9123847275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Gastroenterology& Hepatology Consultants Inc 300 Shirley Avenue Douglas GA 31533-2332 Ph: (912) 384-7275 | Southern Gastroenterology& Hepatology Consultants Inc 300 Shirley Ave Douglas GA 31533-2332 Ph: (912) 384-7275 |
| NPI Number | 1336320761 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 12/08/2010 |
| Medicare PECOS PAC ID | 0648467225 |
|---|---|
| Medicare Enrollment ID | O20101208000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336320761 | NPI | - | NPPES |
| 10BBCDX | Other | GA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | GA041589 (Georgia) | Primary |
| Provider Name | Sudhakar Jonnalagadda |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043203011 PECOS PAC ID: 1153382817 Enrollment ID: I20110110000491 |
| Provider Name | Farah M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447616461 PECOS PAC ID: 2860786092 Enrollment ID: I20160810001105 |
| Provider Name | Maci Merritt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689110496 PECOS PAC ID: 3274879291 Enrollment ID: I20190113000005 |
Crh Cardiology Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-0600 Fax: 912-384-0601 | |
Coffee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Ste 224, Douglas, GA 31533 Phone: 912-384-2353 | |
Kids Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Shirley Ave, Ste B, Douglas, GA 31533 Phone: 912-384-2474 Fax: 912-384-4995 | |
Abigail Miller Family Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Shirley Ave, Douglas, GA 31533 Phone: 912-384-7300 | |
Douglas Medical Specialist Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Doctors Dr Ste 106, Douglas, GA 31533 Phone: 912-384-3338 Fax: 912-383-6365 | |
Crh Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Doctors Dr, Ste 101, Douglas, GA 31533 Phone: 912-389-1558 Fax: 912-389-1558 | |
Coffee Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr, Suite 224, Douglas, GA 31533 Phone: 912-384-2353 |