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Organization
GASTROINTESTINAL ASSOCIATES, P.A.
Active
Organization
GASTROINTESTINAL ASSOCIATES, P.A.
Active
Parent organization
GASTROINTESTINAL ASSOCIATES, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTROINTESTINAL ASSOCIATES, P.A.
Authorized official
PIERCE D DOTHEROW M.D. (AUTHORIZED OFFICIAL)
(601) 355-1234
Entity
Organization
Contact information
Practice address
1815 MISSION 66, VICKSBURG, MS 39180-3709
(601) 355-1234
(601) 326-3566
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3566
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
NULL
2080P0206X
Pediatric Gastroenterology Physician
—
—
Other
Enumeration date
08/10/2007
Last updated
12/06/2016
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