NPI | 1609099373 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN KEITH HUDES Owner 678-475-1606 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 042852) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2020-08-22 |