NPI | 1821024431 |
---|---|
Former Legal Business Name | TRIDENT GASTROENTEROLOGY ASSOCIATES,PA |
Entity Type | Organization |
Authorized Contact | TODD L SNYDER President/CEO 843-797-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2006-06-24 |
Last Update Date | 2015-01-14 |