Advanced Digestive Diseases, P.C.

LBN: Advanced Digestive Care Center,P.C.
Advanced Digestive Diseases, P.C. is an health care organization with primary practice located at 235 Medical Blvd Suite A, Stockbridge GA 30281-7218. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Advanced Digestive Care Center,P.C. can be contacted via phone (678) 783-0300, or through Maiki, Celestine via phone (678) 783-0300.

Contact Information

Primary practice address
235 Medical Blvd Suite A Stockbridge GA 30281-7218
Phone: (678) 783-0300
Fax: (678) 565-9473
Website:
Map and Directions
Authorized official contact:
Name: Maiki, Celestine Doctor of Medicine (MD)
Phone: (678) 783-0300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1831274034
LBN Legal business name Advanced Digestive Care Center,P.C.
DBA Doing business as Advanced Digestive Diseases, P.C.
Authorized official Maiki, Celestine Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Oct 19th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831274034 NPPES
Georgia MEDICAID 199807383A

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