| NPI | 1467196139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE B DARRAH CEO 706-243-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2022-08-24 |