| NPI | 1710939954 |
|---|---|
| Doing Business As | SOUTH CENTRAL ENT |
| Entity Type | Organization |
| Authorized Contact | ANDREW GORDON Physician Partner 269-781-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-02-19 |