| NPI | 1821272345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIVE ALBERT Owner 770-889-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 035800) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |