| NPI | 1528126182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY VICKERS CARRINGTON Billing Manager 229-382-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 021582) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-06-21 |