Provider First Line Business Practice Location Address:
GASTROENTEROLOGY GROUP, AMC
Provider Second Line Business Practice Location Address:
131-B CHEROKEE ROSE LANE
Provider Business Practice Location Address City Name:
COVINGTON
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70433-7195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-871-1721
Provider Business Practice Location Address Fax Number:
985-871-4049
Provider Enumeration Date:
05/19/2006