Provider Demographics
NPI:1396569471
Name:ATHENS LIMESTONE CENTER FOR DIGESTIVE & LIVER HEALTH
Entity type:Organization
Organization Name:ATHENS LIMESTONE CENTER FOR DIGESTIVE & LIVER HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO-COO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RANDY
Authorized Official - Last Name:COMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-262-6190
Mailing Address - Street 1:101 FITNESS WAY STE 2100
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-2494
Mailing Address - Country:US
Mailing Address - Phone:256-262-6190
Mailing Address - Fax:256-262-6199
Practice Address - Street 1:101 FITNESS WAY STE 2100
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-2494
Practice Address - Country:US
Practice Address - Phone:256-262-6190
Practice Address - Fax:256-262-6199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty