| NPI | 1558365247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYE PENNINGTON Billing Manager 404-603-3543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 039539) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2010-06-24 |