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Organization
ADVANCED DIGESTIVE CARE CENTER,P.C.
Active
Organization
ADVANCED DIGESTIVE CARE CENTER,P.C.
Active
Other names
Advanced Digestive Diseases, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTINE MAIKI M.D. (PRESIDENT)
(678) 783-0300
Entity
Organization
Contact information
Practice address
235 MEDICAL BLVD, SUITE A, STOCKBRIDGE, GA 30281-7218
(678) 783-0300
(678) 565-9473
Mailing address
235 MEDICAL BLVD, SUITE A, STOCKBRIDGE, GA 30281
(678) 783-0300
(678) 565-9473
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
10/19/2012
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