NPI | 1366586422 |
---|---|
Doing Business As | WESTSIDE MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DEVON CHARLES SPENCER Practice Manager 770-941-4810 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
Enumeration Date | 2007-02-20 |
Last Update Date | 2007-07-16 |