NPI | 1942300298 |
---|---|
Doing Business As | GASTROENTEROLOGY ASSOCIATES OF TIDEWATER |
Entity Type | Organization |
Authorized Contact | AIMEE CATHLEEN JUDY Director, Credentialing 901-737-4665 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101023966) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2025-01-14 |