GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC PC NPI 1366625535

NPI Information

NPI: 1366625535
Provider Name: GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
3200 DOWNWOOD CIR NW STE 340
ATLANTA, GA
ZIP 30327
Phone: (404) 681-0000
Get Directions

GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC is a gastroenterology internal medicine in Atlanta, GA. 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. GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC NPI is 1366625535. The provider is registered as an organization entity type.

The provider's business location address is:

3200 DOWNWOOD CIR NW STE 340
ATLANTA, GA
ZIP 30327-605
Phone: (404) 681-0000
Fax: (404) 365-8354

The provider's authorized official is Edward A Layne .
The authorized official title is President and has the following contact phone number (404) 681-0000.

The enumeration date for this NPI number is 12/11/2007 and was last updated on 7/7/2008.

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
1	261QM2500X	Clinic/Center	Medical Specialty	021539	GEORGIA	No
2	207RG0100X	Internal Medicine	Gastroenterology	021539	GEORGIA	Yes

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
1	10BBCDL	MEDICARE PIN	GEORGIA
2	D30027	MEDICARE UPIN	GEORGIA
3	00204586B	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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