institution
Coffee County Center For Digestive Diseases Llc
Ambulatory Surgical Clinic/Center in Douglas, Georgia
NPI 1043411648

Coffee County Center For Digestive Diseases Llc is an Ambulatory Surgical Clinic/Center based in Douglas, GA and is specialized in Ambulatory Surgical. Coffee County Center For Digestive Diseases Llc practices in Douglas, GA. The NPI Number for Coffee County Center For Digestive Diseases Llc is 1043411648 and holds a License No. 034-295 (Georgia).

The current practice location address for Coffee County Center For Digestive Diseases Llc is 300 Shirley Avenue, Douglas, GA and can be reached out via phone at 912-384-7276 and via fax at 912-384-4353.

Location: 300 Shirley Avenue, Douglas, GA, 31533
institution
Provider Profile Details
NPI Number
1043411648
Provider Name
Coffee County Center For Digestive Diseases Llc
Credential
Provider Entity Type
Organization
Address
300 Shirley Avenue, Douglas, GA, 31533
Phone Number
912-384-7276
Fax Number
912-384-4353
Provider Enumeration Date
05/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
034-295 01 GA STATE PERMIT
474131643A 05 GA
institution
Provider Business Practice Location Address Details
Address
300 Shirley Avenue
City
State
Zip
31533
Phone Number
912-384-7276
Fax Number
912-384-4353
person
Provider Business Mailing Address Details
Address
300 Shirley Avenue
City
State
Zip
31533
Phone Number
912-384-7276
Fax Number
912-384-4353
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
034-295 (Georgia)
Definition
Definition to come...
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