NPI | 1518941731 |
---|---|
Former Legal Business Name | CORINTH GASTROENTEROLOGY CLINIC, LLC |
Entity Type | Organization |
Authorized Contact | FREDRICK ALVIN CORDER Owner/Physician/Medical Director 662-284-9902 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2005-12-01 |
Last Update Date | 2020-08-22 |