Organization
ADVANCED DIGESTIVE CARE CENTER,P.C.
Active
Other names
Advanced Digestive Diseases, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTINE MAIKI M.D. (PRESIDENT)
(678) 783-0300
Entity
Organization
Contact information
Practice address
235 MEDICAL BLVD, SUITE A, STOCKBRIDGE, GA 30281-7218
(678) 783-0300
(678) 565-9473
Mailing address
235 MEDICAL BLVD, SUITE A, STOCKBRIDGE, GA 30281
(678) 783-0300
(678) 565-9473
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199807383A
—
GA
Enumeration date
10/26/2006
Last updated
10/19/2012
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