NPI | 1407121056 |
---|---|
Doing Business As | BARIATRICS CENTER |
Entity Type | Organization |
Authorized Contact | SEBRENA HOLMES GIBSON Provider Enrollment Coordinator 912-350-9335 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2012-03-15 |
Last Update Date | 2016-10-14 |