| NPI | 1144358326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY ANDERSON Office Manager 770-836-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 025006) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |