| NPI | 1861064263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDEY CLARKE LANDKROHN Director 904-244-3603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2021-07-14 |