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General NPI Number Information
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NPI Number | 1376464396
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Entity Type | Organization
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Legal Business Name | DIGESTIVE HEALTHCARE OF GA, P.C.
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 1505 STONE BRIDGE PKWY STE 100
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City | WOODSTOCK
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State | GA
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Zip | 30189-8282
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Country | US
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Telephone | 404-425-5570
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Fax |
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Provider Business Mailing Address
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Address Line | 3280 HOWELL MILL RD NW STE T100
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City | ATLANTA
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State | GA
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Zip | 30327-4122
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Country | US
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Telephone | 404-355-3200
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NCIS
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Name | PROF. SHELLY M ROBINSON
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Credential |
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Telephone | 770-490-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number |
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License Number State |
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