# MERIDIAN GASTROENTEROLOGY, PLLC

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

## Provider details

- **NPI number:** 1588622856
- **Authorized official:** DR. VINCENT CRAIG DUNGAN M.D. (OWNER)
- **Authorized official phone:** (601) 703-9165

## Contact information

- **Practice address:** 1800 12TH ST, SUITE 1D, MERIDIAN, MS 39301-4158
- **Practice address phone:** (601) 703-9165
- **Practice address fax:** (601) 703-9483
- **Mailing address:** PO BOX 1769, MERIDIAN, MS 39302-1769
- **Mailing address phone:** (601) 703-9506
- **Mailing address fax:** (601) 703-3264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 08/22/2020