| NPI | 1831274034 |
|---|---|
| Former Legal Business Name | ADVANCED DIGESTIVE DISEASES, P.C. |
| Entity Type | Organization |
| Authorized Contact | CELESTINE MAIKI President 678-783-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-10-19 |