NPI | 1063437994 |
---|---|
Doing Business As | THE CENTER FOR DIGESTIVE WELLNESS |
Entity Type | Organization |
Authorized Contact | MICHELLE CARMELA MERRITT Practice Administrator 423-279-1414 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy (Licence: TN 151) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2022-10-21 |