NPI | 1841047560 |
---|---|
Doing Business As | ADVANCED GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | MATTHEW TOLBERT LOGAN CEO 864-725-4780 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2024-05-01 |
Last Update Date | 2024-05-22 |