| NPI | 1568546380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH THOMAS RIDDICK Managing Partner 770-442-5882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-03-04 |