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NPI Code Detail

MEDICARE: PREEMINENCE DIGESTIVE & LIVER INSTITUTE LLC

MEDICARE: PREEMINENCE DIGESTIVE & LIVER INSTITUTE LLC
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 Physician

General Provider Information

NPI Number : 1215805171
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREEMINENCE DIGESTIVE & LIVER INSTITUTE LLC
Provider Business Mailing Address
First Line : 1968 NORTH AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1525
Country : US
Telephone Number : 706-842-5161
Fax Number : 706-478-9121
Provider Business Practice Location Address
First Line : 1968 NORTH AVE
Second Line :
City : COLUMBUS
State : GA
Zip : 31901-1525
Country : US
Telephone Number : 706-842-5161
Fax Number : 706-478-9121
Authorized Official
Title or Position : OWNER
Name : ALLAWY ALLAWY
Credential : MD
Telephone Number : 706-842-5161
Provider Enumeration Date : 10/23/2025
Last Update Date : 02/12/2026

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Directions to “PREEMINENCE DIGESTIVE & LIVER INSTITUTE LLC ” Practice Location

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