| NPI | 1891737532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM D LYDAY Owner 770-400-6041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 008698) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-04-10 |