NPI | 1790046894 |
---|---|
Doing Business As | HANOVER GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | DANIEL GOODWIN Vice President 910-667-7597 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2012-06-05 |
Last Update Date | 2021-05-06 |