Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Ga Gastroenterology & Nutrition Support, Inc

Organization Gastroenterology Physician · NPI 1609938026

South Ga Gastroenterology & Nutrition Support, Inc is a Gastroenterology Physician in Moultrie, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2509 S Main St
Moultrie, GA 31768-6530
Phone: (229) 985-1230
Fax: (229) 985-1233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 46662 (GA)

Record details

NPI number1609938026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Cole — Practice Manager · (229) 985-1230
NPI enumeratedDecember 14, 2006
Last updated in NPPESJanuary 4, 2010
Mailing address2509 S Main St, Moultrie, GA 31768-6530

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