| NPI | 1669429460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY ANTHONY JONES Owner 704-332-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 00-23388) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-03-07 |