| NPI | 1649280264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERESVITA BALATICO Business Manager 931-363-8823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TN MD14111) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-04-20 |