Atlanta Digestive Center

LBN: Atlanta Digestive Center
Atlanta Digestive Center is an health care organization with primary practice located at 2675 N Decatur Rd Suite 305, Decatur GA 30033-6131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Atlanta Digestive Center can be contacted via phone (404) 299-8320, or through Kamean, Jeffrie via phone (404) 299-8320.

Contact Information

Primary practice address
2675 N Decatur Rd Suite 305 Decatur GA 30033-6131
Phone: (404) 299-8320
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kamean, Jeffrie
Phone: (404) 299-8320

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1558634410
LBN Legal business name Atlanta Digestive Center
DBA Doing business as
Authorized official Kamean, Jeffrie
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2012
Last updated Feb 22nd, 2012 - about 13 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 1558634410 NPPES
Georgia Other 112542004 TRICARE
Georgia MEDICAID 00676035F TRICARE

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