Organization
DIGESTIVE HEALTH SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN TILLINGER MHA (CEO)
(336) 768-6211
Entity
Organization
Contact information
Practice address
280 BROAD ST, SUITE F, KERNERSVILLE, NC 27284-2796
(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
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D1086999
CLIA
NC
Enumeration date
05/04/2009
Last updated
04/04/2017
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