Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gastroenterology Medicine & Nutrition Clinic, PC

Organization Gastroenterology Physician · NPI 1366625535

Gastroenterology Medicine & Nutrition Clinic, PC is a Gastroenterology Physician in Atlanta, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3886 Princeton Lakes Way SW Ste 120
Atlanta, GA 30331-5511
Phone: (404) 681-0000
Fax: (678) 866-2538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 Downwood Cir Nw Ste 340, Atlanta, GA 30327-1605 — (404) 681-0000

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 021539 (GA)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 021539 (GA)

Record details

NPI number1366625535
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Layne — President · (404) 681-0000
NPI enumeratedDecember 11, 2007
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing addressPo Box 570744, Atlanta, GA 30357-3113

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