| NPI | 1508089137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MEYER Practice Administrator 706-868-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-11-05 |