| NPI | 1225578792 |
|---|---|
| Doing Business As | NORTHERN GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | PAMELA R SMITH Credentialing And Contracting Coord 336-783-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2021-03-08 |