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GUT PC NPI 1073566006

NPI Profile

NPI: 1073566006
Provider Name: GUT PC

Doing Business As: DIGESTIVE HEALTH SPECIALIST OF THE SOUTHEAST

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 01D0304790

Address:
480 HONEYSUCKLE RD
DOTHAN, AL
ZIP 36305
Get Directions

Phone: (334) 836-1212

GUT PC is a gastroenterology internal medicine in Dothan, AL. The provider is 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. GUT PC NPI is 1073566006. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Digestive Health Specialist Of The Southeast.

The provider's business location address is:

480 HONEYSUCKLE RD
DOTHAN, AL
ZIP 36305
Phone: (334) 836-1212
Fax: (334) 836-1888

The provider's authorized official is Robert N Gwin .
The authorized official title is Administrator Ceo and has the following contact phone number (334) 836-1212.

The CLIA number assigned to this NPI record is 01D0304790 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/19/2006 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K486MEDICARE PINALABAMA
2=========OTHERALABAMATAX ID NUMBER
32552348OTHERUNITED HEALTHCARE
4K486MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE GROUP PAYEE NUMB

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/24/2020

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