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1790440204
GASTRO SOUTH, LLC
MACON, GA
NPI
1790440204
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Entity Type
Organization
Authorized Contact
JOEL JUDAH
Managing Member
706-495-5718
Organization Subpart ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
GASTRO SOUTH, LLC
240 SHERATON BLVD
MACON, GA 31210-1358
Phone number: 706-495-5718
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Mailing Address
GASTRO SOUTH, LLC
9172 ESTES RD
MACON, GA 31220-5603
Phone number: 706-495-5718
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