| NPI | 1255872784 |
|---|---|
| Doing Business As | MID-ATLANTIC GASTROINTESTINAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PHILLIP A. CLENDENIN President 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 15891501) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2019-10-11 |