NPI | 1891859757 |
---|---|
Doing Business As | MIDLANDS GASTROENTEROLOGY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | BURNETT WILLILAM GALLMAN Doctor 803-786-0980 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: SC 9924) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2020-08-22 |