| NPI | 1154008142 |
|---|---|
| Doing Business As | NORTHEAST DIGESTIVE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | TAYLOR A BLACKMAN CEO 704-783-1840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |