Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Ga Gastroenterology & Nutrition Support, Inc

Organization Gastroenterology Physician · NPI 1609938026

South Ga Gastroenterology & Nutrition Support, Inc provides Gastroenterology Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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