ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC
Ambulatory Health at Stephenson Ave, Savannah, GA

License number
Georgia 86172S
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MRS. JUDY L GILLIAM
Title: BILLING MANAGER
Phone: (912) 354-9447
Address
Address
519 Stephenson Ave, Savannah, GA 31405
National Provider ID: 1821106923
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENDOSCOPY CENTER OF COASTAL GEORGIA, LLC

519 Stephenson Ave, Savannah, GA 31405

Industry:
Medical Doctor's Office
Registration:
Nov 6, 2000
Phone:
(912) 354-9447 (Phone)
State ID:
0049015
Business type:
Domestic Limited Liability Company
Managing Members:
Judy L. Gilliam (Manager),Branden S. Hunter (Mc , Member),Gregory D. Borak (Managing Member)
Agent:
Branden S Hunter Md,519 Stephenson Ave Savannah Ga, Savannah, GA 31405 (Physical)

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