11D0944193 CLIA NUMBER - DIGESTIVE DISEASE CONSULTANTS PC

Laboratory Demographics

CLIA Number: 11D0944193

Facility Name: DIGESTIVE DISEASE CONSULTANTS PC

Facility Address:
1501 ALICE STREET
WAYCROSS, GA
ZIP 31501
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Facility Phone Number: 912 285-0877

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1619081429

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	11D0944193
LAB Type	Physician Office
Facility Name	DIGESTIVE DISEASE CONSULTANTS PC
Street	1501 ALICE STREET
City	WAYCROSS
State	GA
ZIP	31501
Phone	912 285-0877
CertificateType	2
CertificateEffectiveDate	6/24/2023
CertificateExpirationDate	6/23/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024