| NPI | 1174109474 |
|---|---|
| Doing Business As | HANOVER GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | SHALA DAVIS Rcs Manager 704-303-7517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-07-19 |