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CESAR CLINIC LLC NPI 1043352958


NPI Information

NPI: 1043352958
Provider Name: CESAR CLINIC, LLC

Doing Business As: EAST GEORGIA GASTROENTEROLOGY CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1497 FAIR RD
SUITE 201
STATESBORO, GA
ZIP 30458
Phone: (912) 871-8500
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CESAR CLINIC, LLC is a specialist in Statesboro, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CESAR CLINIC, LLC NPI is 1043352958. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As East Georgia Gastroenterology Center.

The provider's business location address is:

1497 FAIR RD
SUITE 201
STATESBORO, GA
ZIP 30458-822
Phone: (912) 871-8500
Fax: (912) 871-8508

The provider's authorized official is Rose L Cesar .
The authorized official title is Owner and has the following contact phone number (912) 871-8500.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 5/29/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistF63922GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100867974AMEDICAIDGEORGIA
2F63922MEDICARE UPINGEORGIA
3GRP6730MEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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