| NPI | 1831216183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA G COOPER President 478-474-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 038543) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-12-11 |