| NPI | 1306862941 |
|---|---|
| Doing Business As | MGA GASTROINTESTINAL DIAGNOSTIC AND THERAPEUTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER A HOLDEN Chief Manager Of LLC 615-665-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X (Licence: LA 60) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-09-28 |