NPI | 1962561811 |
---|---|
Doing Business As | ENDOCRINOLOGY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
Enumeration Date | 2006-12-07 |
Last Update Date | 2011-05-31 |