NPI | 1780883942 |
---|---|
Doing Business As | EASLEY GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | THOMAS R. PROSTKO Owner 864-442-0771 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SC 13970) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2008-06-19 |