| NPI | 1225452931 |
|---|---|
| Doing Business As | DIGESTIVE HEALTHCARE OF GA BLUE RIDGE |
| Entity Type | Organization |
| Authorized Contact | SHELLY MONIQUE ROBINSON Business Office Manager 404-603-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 207RG0100X) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA 207R0000X) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |