Organization
DIGESTIVE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUITT E MATTOX III M.D. (MANAGING MEMBER)
(912) 267-0058
Entity
Organization
Contact information
Practice address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-0058
(912) 267-0061
Mailing address
3217 4TH ST, BRUNSWICK, GA 31520-3759
(912) 267-0058
(912) 267-0061
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023313A
—
GA
Enumeration date
02/12/2007
Last updated
05/14/2008
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