| Advanced Digestive Care Center,p.c. | |
|
235 Medical Blvd Suite A Stockbridge GA 30281-7218 | |
| (678) 783-0300 | |
| (678) 565-9473 |
| Full Name | Advanced Digestive Care Center,p.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 235 Medical Blvd, Stockbridge, Georgia |
| Authorized Official Name and Position | Celestine Maiki (PRESIDENT) |
| Authorized Official Contact | 6787830300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Digestive Care Center,p.c. 235 Medical Blvd Suite A Stockbridge GA 30281 Ph: (678) 783-0300 | Advanced Digestive Care Center,p.c. 235 Medical Blvd Suite A Stockbridge GA 30281-7218 Ph: (678) 783-0300 |
| NPI Number | 1831274034 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 10/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831274034 | NPI | - | NPPES |
| 199807383A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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