Basic Information
| Provider Information | |||||||||
| NPI: | 1346267010 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALBANY GASTROENTEROLOGY, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1009 N MONROE ST | ||||||||
| Address2: | |||||||||
| City: | ALBANY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317011970 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2298830298 | ||||||||
| FaxNumber: | 2294387898 | ||||||||
| Practice Location | |||||||||
| Address1: | 1009 N MONROE ST | ||||||||
| Address2: | |||||||||
| City: | ALBANY | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317011970 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2298830298 | ||||||||
| FaxNumber: | 2294387898 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | DREMEL | ||||||||
| AuthorizedOfficialFirstName: | HAZEL | ||||||||
| AuthorizedOfficialMiddleName: | B | ||||||||
| AuthorizedOfficialTitleorPosition: | PRACTICE ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 2298830298 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.