NPI 1043411648

Coffee County Center for Digestive Diseases LLC

Organisation Ambulatory Surgical Clinic/Center Douglas, GA

Practice location

Address: 300 Shirley Avenue, Douglas, GA 31533
Phone: (912) 384-7276
Fax: (912) 384-4353

Authorised official

Name: Sudhakar Jonnalagadda
Title: Officer
Phone: (912) 384-7276

Registered specialties

Ambulatory Surgical Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QA1903X Licence 034-295 (GA)

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1043411648
Entity type: Organization
NPI issued: 30 May 2007
Record last updated: 19 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.