| NPI | 1548303340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS VINCENT COSTRINI President 912-354-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |