Gastrointestinal Associates Endoscopy Center, LLC
NPI #1558553859 in Madison, Mississippi
Provider Information
- NPI Number
- 1558553859
- Entity Type
- Organization
- Organization Name
- Gastrointestinal Associates Endoscopy Center, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- GASTROINTESTINAL ASSOCIATES ENDOSCOPY CENTER, LLC
- Primary Specialty
- Clinic/Center - Endoscopy
- Enumeration Date
- Aug 10, 2007
- Last Updated
- Dec 6, 2016
Practice Location
- Address
- 106 HIGHLAND WAY STE 101
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6930
- Phone
- (601) 355-1234
Authorized Official
- Name
- PIERCE D DOTHEROW, M.D.
- Title
- AUTHORIZED OFFICIAL
- Phone
- (601) 355-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Endoscopy — Endoscopy |
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