| NPI | 1467405712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY M LINDQUIST Office Manager 706-548-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 020621) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-07-02 |