NPI | 1639316318 |
---|---|
Doing Business As | COLONIAL GASTROENTEROLOGY ASSOCIATES |
Doing Business As | CAPITAL DIGESTIVE CARE, LLC- COLONIAL GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | TIMOTHY SHORT CEO 757-803-6483 |
Organization Subpart ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: VA 0101224242) |
Enumeration Date | 2009-01-16 |
Last Update Date | 2025-08-26 |