| NPI | 1336320761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDHAKAR JONNALAGADDA Officer 912-384-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA GA041589) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2010-12-08 |