NPI | 1225452931 |
---|---|
Doing Business As | DIGESTIVE HEALTHCARE OF GA BLUE RIDGE |
Entity Type | Organization |
Authorized Contact | SHELLY M ROBINSON Director RN C 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 | 2024-12-16 |