National Provider Identifier Database

GASTROENTEROLOGY MEDICINE NUTRITION CLINIC PC
Gastroenterology

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.


Contact Information

GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC
3886 PRINCETON LAKES WAY SW STE 120
ATLANTA, GA30331-5511
Phone: 404-681-0000
Fax: 678-866-2538
Website:
Specialty Taxonomy Code
* Gastroenterology 207RG0100X
Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC

NPI Number 1366625535
Legal business name
LBN
GASTROENTEROLOGY MEDICINE & NUTRITION CLINIC, PC
Authorized official EDWARD LAYNE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/11/2007
Last updated 06/12/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 021539
  • GA Medicaid: 00204586B

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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