# FAIRHOPE GASTROENTEROLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578106621
- **Authorized official:** CHRISTOPHER W IVES MD (MANAGING PARTNER/OWNER)
- **Authorized official phone:** (251) 928-8804

## Contact information

- **Practice address:** 3 MEDICAL PARK, FAIRHOPE, AL 36532-1804
- **Practice address phone:** (251) 928-8804
- **Mailing address:** 3 MEDICAL PARK DRIVE, FAIRHOPE, AL 36532-1804
- **Mailing address phone:** (251) 928-8804
- **Mailing address fax:** (251) 990-9379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2019
- **Last updated:** 01/08/2024