NPI 1144412438 · live from the CMS NPI Registry
Gastrointestinal Associates, P.A.
Internal Medicine, Gastroenterology in Vicksburg, MS. National Provider Identifier 1144412438, active.
NPI record
| NPI | 1144412438 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 1815 Mission 66, Vicksburg, MS 39180 |
| Practice phone | 601-355-1234 |
| Mailing address | 2510 Lakeland Dr, Flowood, MS 39232 |
| Enumerated | August 10, 2007 |
| Last updated | December 6, 2016 |
| Authorized official | Pierce Dotherow, Authorized Official |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Gastroenterology | 2080P0206X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.