| NPI | 1568789329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CARMELA CASTELLANO Owner 912-490-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 045419) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2012-01-06 |