| NPI | 1053559542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURI GEBHART Administrator 404-503-2271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-30 |