MEDICARE: ST. FRANCIS CENTER FOR DIGESTIVE DISORDERS, 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
1	207RG0100X	Gastroenterology Physician	024937	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891818076
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. FRANCIS CENTER FOR DIGESTIVE DISORDERS, LLC

Provider Business Mailing Address
First Line	:	PO BOX 9046
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31908-9046
Country	:	US
Telephone Number	:	706-320-2766
Fax Number	:	706-320-2768

Provider Business Practice Location Address
First Line	:	2300 MANCHESTER EXPY
Second Line	:	STE A201
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6856
Country	:	US
Telephone Number	:	706-320-2766
Fax Number	:	706-320-2768

Authorized Official
Title or Position	:	CFO/SVP
Name	:	GREG S. HEMBREE
Credential	:
Telephone Number	:	706-320-3751

Provider Enumeration Date	:	04/10/2007
Last Update Date	:	04/27/2015

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