| NPI | 1003829821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOTHI NAT MANN Physician/Owner 336-275-1306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 930039) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2005-00334) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2012-12-05 |