| NPI | 1770723751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. THOMAS SHEPHERD Chairman, Gove RN Ing Board 678-312-4521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center Endoscopy |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-11-12 |