NPI | 1356651434 |
---|---|
Entity Type | Organization |
Authorized Contact | SALMA GILL Practice Administrator 678-721-6556 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 61740) |
Enumeration Date | 2010-10-07 |
Last Update Date | 2013-06-17 |