NPI | 1831134121 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC M WARD Physician 229-244-1570 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: GA 092-243) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2012-06-08 |