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General NPI Number Information
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NPI Number | 1225237191
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Entity Type | Organization
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Legal Business Name | ATHENS GASTROENTEROLOGY CENTER,PC
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 21 JEFFERSON PL STE 1
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City | ATHENS
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State | GA
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Zip | 30601-1761
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Country | US
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Telephone | 706-548-0058
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Fax | 706-548-0555
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Provider Business Mailing Address
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Address Line | 21 JEFFERSON PL STE 1
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City | ATHENS
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State | GA
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Zip | 30601-1761
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Country | US
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Telephone | 706-548-0058
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. GREGORY SCOTT SMITH
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Credential | M.D.
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Telephone | 706-548-0058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 047532
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License Number State | GA
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