| NPI | 1841517893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN K BARR Administrator 478-272-1366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: GA 087-444) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2016-03-01 |