| Organization Name: | DIGESTIVE HEALTHCARE OF GA, P.C. |
| NPI Number: | 1053735761 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHELLY MONIQUE ROBINSON (BUSINESS OFFICE MANAGER) |
| Mailing Address: | 97 Hefner St Suite 203 East Ellijay |
| State: | GA US |
| Postal Code: | 305408268 |
| Phone Number: | 7065157200 |
| Fax Number: | 7065157203 |
| NPI Enumeration Date: | 02/17/2014 |
| NPI Last Update Date: | 02/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 207RG0100X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |