# DIGESTIVE DISORDERS & LIVER CLINIC OF SO GA, PC

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

## Provider details

- **NPI number:** 1871520148
- **Authorized official:** MR. MICHAEL J. DAWSON M.D. (PRESIDENT)
- **Authorized official phone:** (229) 391-3625

## Contact information

- **Practice address:** 907 E. 18TH STREET, SUITE 460, TIFTON, GA 31794
- **Practice address phone:** (229) 391-3625
- **Practice address fax:** (229) 391-3639
- **Mailing address:** 907 E. 18TH STREET, SUITE 460, TIFTON, GA 31794
- **Mailing address phone:** (229) 391-3625
- **Mailing address fax:** (229) 391-3639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 034811 | GA | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 07/14/2010
