NPI | 1588329098 |
---|---|
Doing Business As | GASTRO SOUTH ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | JOEL JUDAH Managing Member 706-495-5718 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2021-11-01 |
Last Update Date | 2023-04-10 |