NPI | 1558696559 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN L COLEMAN Owner 251-753-6462 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 8781) |
Enumeration Date | 2009-10-08 |
Last Update Date | 2020-01-13 |