| NPI | 1609938026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KAY COLE Practice Manager 229-985-1230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 46662) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2010-01-04 |