Organization
ATLANTA DIGESTIVE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRIE KAMEAN (PHYSICIAN)
(404) 299-8320
Entity
Organization
Contact information
Practice address
2675 N DECATUR RD, SUITE 305, DECATUR, GA 30033-6131
(404) 299-8320
Mailing address
PO BOX 88587, DUNWOODY, GA 30356-8587
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00676035F
—
GA
01
—
112542004
TRICARE
GA
Enumeration date
02/22/2012
Last updated
02/22/2012
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