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NPI Code Detail

MEDICARE: DIGESTIVE HEALTHCARE OF GA, P.C.

MEDICARE: DIGESTIVE HEALTHCARE OF GA, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician039539GA

General Provider Information

NPI Number : 1558365247
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIGESTIVE HEALTHCARE OF GA, P.C.
Provider Business Mailing Address
First Line : 3280 HOWELL MILL RD NW STE T100
Second Line :
City : ATLANTA
State : GA
Zip : 30327-4122
Country : US
Telephone Number : 404-603-3543
Fax Number : 404-350-8795
Provider Business Practice Location Address
First Line : 3280 HOWELL MILL RD NW STE T100
Second Line :
City : ATLANTA
State : GA
Zip : 30327-4122
Country : US
Telephone Number : 404-603-3543
Fax Number : 404-350-8795
Authorized Official
Title or Position : DIRECTOR OF RCNIS
Name : SHELLY M ROBINSON
Credential :
Telephone Number : 404-603-3543
Provider Enumeration Date : 06/09/2005
Last Update Date : 02/12/2025

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1982418778 — AMBER NIXON
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1265318653 — KEEGAN WALLER
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Directions to “DIGESTIVE HEALTHCARE OF GA, P.C. ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.