# DIGESTIVE HEALTH SPECIALISTS, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306005343
- **Authorized official:** JACQUELYN TILLINGER (CEO)
- **Authorized official phone:** (336) 768-6211

## Contact information

- **Practice address:** 2025 FRONTIS PLAZA BLVD, SUITE 200, WINSTON SALEM, NC 27103-5663
- **Practice address phone:** (336) 768-6211
- **Practice address fax:** (336) 768-6869
- **Mailing address:** 2025 FRONTIS PLAZA BLVD, SUITE 200, WINSTON SALEM, NC 27103-5663
- **Mailing address phone:** (336) 768-6211
- **Mailing address fax:** (336) 768-6869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AS0099 | NC | Yes |

## Other

- **Enumeration date:** 06/05/2008
- **Last updated:** 05/17/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1306005343 | NPI | NC |
| 05 | — | 3409955 | — | NC |