NPI | 1689707432 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD BROWN Owner, CEO 706-722-1461 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 048164) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA G025517) |
Enumeration Date | 2007-03-13 |
Last Update Date | 2020-08-22 |