| NPI | 1124559679 |
|---|---|
| Doing Business As | MID-ATLANTIC GASTROINTESTINAL CENTER III |
| Entity Type | Organization |
| Authorized Contact | PHILLIP A. CLENDENIN President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 17211501) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-09-15 |