| Gastroenterology Institute, Pc | |
|
114 Hill Pond Ln Statesboro GA 30458-0872 | |
| (912) 681-6944 | |
| (912) 681-8744 |
| Full Name | Gastroenterology Institute, Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 114 Hill Pond Ln, Statesboro, Georgia |
| Authorized Official Name and Position | Joseph M Hathaway (OWNER) |
| Authorized Official Contact | 9126816944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Institute, Pc 114 Hill Pond Ln Statesboro GA 30458-0872 Ph: (912) 681-6944 | Gastroenterology Institute, Pc 114 Hill Pond Ln Statesboro GA 30458-0872 Ph: (912) 681-6944 |
| NPI Number | 1093039760 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093039760 | NPI | - | NPPES |
| 000900501G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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