| 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 |