| Digestive Associates, Inc. | |
|
3217 4th St Brunswick GA 31520-3759 | |
| (912) 267-0058 | |
| (912) 267-0061 |
| Full Name | Digestive Associates, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3217 4th St, Brunswick, Georgia |
| Authorized Official Name and Position | Huitt E Mattox (MANAGING MEMBER) |
| Authorized Official Contact | 9122670058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Associates, Inc. 3217 4th St Brunswick GA 31520-3759 Ph: (912) 267-0058 | Digestive Associates, Inc. 3217 4th St Brunswick GA 31520-3759 Ph: (912) 267-0058 |
| NPI Number | 1730221409 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730221409 | NPI | - | NPPES |
| 300023313A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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