| NPI | 1023319449 |
|---|---|
| Doing Business As | SOUTHEAST BARIATRICS |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY K GARDNER VP Of Finance 704-384-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |