NPI | 1750689964 |
---|---|
Entity Type | Organization |
Authorized Contact | SIMON ROBERT COFRANCESCO Owner/M.D. 404-446-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 062826) |
207ZP0101X Pathology, Anatomic Pathology | |
Enumeration Date | 2011-03-11 |
Last Update Date | 2023-03-10 |