| NPI | 1861059172 |
|---|---|
| Doing Business As | NORTHEAST DIGESTIVE POPLAR TENT |
| Entity Type | Organization |
| Authorized Contact | CHELSEA NAZAL Practice Administrator 704-783-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-07-15 |