| NPI | 1841760238 |
|---|---|
| Other Name | GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | MARILYN TATHAM Provider Enrollment Manager 828-651-6595 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |