| NPI | 1386708535 |
|---|---|
| Doing Business As | MIDLANDS GASTROENTEROLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DEALVA TAUNOLDYN SUBER Doctor 803-786-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 15386) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |