| NPI | 1417514522 |
|---|---|
| Doing Business As | NORTHEAST DIGESTIVE POPLAR TENT |
| Entity Type | Organization |
| Authorized Contact | CHELSEA NAZAL Practice Administrator 704-783-1863 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |