NPI | 1922077403 |
---|---|
Other Name | MARLBORO GI ENDOSCOPY CENTER |
Entity Type | Organization |
Authorized Contact | PATRICIA J RIDDLE Office Mgr Administrator 843-479-9794 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 27767) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 10779) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2008-05-19 |