Organization · Type 2 NPI

Premier Gastroenterology, P. C.

Specialist · Southaven, MS

NPI number 1104835461 Active

Practice location

7900 Airways Blvd, Bldg A Ste 3A
Southaven, MS 38671-4113

Call (662) 349-6113 Map

Fax (662) 349-6188

Mailing address

PO Box 40895
Memphis, TN 38174-0895

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

7 other providers at this address

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About NPI 1104835461

Premier Gastroenterology, P. C.'s National Provider Identifier is 1104835461, issued on Aug 5, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Southaven, MS. The record was last updated on May 7, 2008.