| NPI | 1558662858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANDEKAH SCOTT Business Administrator 706-548-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: GA 029-441) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2011-08-03 |