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Organization

DECATUR MORGAN GASTROENTEROLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARCELL ROBINSON (DIRECTOR OF PHYSICIAN NETWORK)
(256) 341-2802
Entity
Organization

Contact information

Practice address
1107 14TH AVE SE, SUITE 330, DECATUR, AL 35601-3309
(256) 353-4949
Mailing address
1107 14TH AVE SE, SUITE 330, DECATUR, AL 35601-3309
(256) 353-4949

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
26035
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
158-595-9
ECFMG
AL
Enumeration date
11/07/2013
Last updated
05/28/2014
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