| NPI | 1700943958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH YOUNG Administrator 229-242-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center Endoscopy (Licence: GA 092121) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-12-19 |