| NPI | 1164705653 |
|---|---|
| Doing Business As | PEDIATRIC GASTROENTEROLOGY ASSOCIATES (SATELLITE) |
| Entity Type | Organization |
| Authorized Contact | GEOFFREY GARDNER VP Finance Nmg 704-384-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2016-09-29 |