Organization
DIGESTIVE HEALTH SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN TILLINGER (CEO)
(336) 768-6211
Entity
Organization
Contact information
Practice address
2025 FRONTIS PLAZA BLVD, SUITE 200, WINSTON SALEM, NC 27103-5663
(336) 768-6211
(336) 768-6869
Mailing address
2025 FRONTIS PLAZA BLVD, SUITE 200, WINSTON SALEM, NC 27103-5663
(336) 768-6211
(336) 768-6869
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
AS0099
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306005343
NPI
NC
05
—
3409955
—
NC
Enumeration date
06/05/2008
Last updated
05/17/2017
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