| NPI | 1265561419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MEYER Administrator 706-868-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: GA 036-258) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-11-05 |