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General NPI Number Information
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NPI Number | 1790684603
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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 | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 1265 HIGHWAY 54 STE 402
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4537
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Country | US
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Telephone | 678-817-6550
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Fax | 678-817-6551
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Provider Business Mailing Address
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Address Line | 1265 HIGHWAY 54 STE 402 SUITE 309
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-4537
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Country | US
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Telephone | 678-817-6550
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Fax | 678-817-6551
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Authorized Official
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Title or Position | DIRECTOR
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Name | PROF. SHELLY M ROBINSON
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Credential | PHD
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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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