# TRI-STATE GASTROENTEROLOGY, P.C.

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

## Provider details

- **NPI number:** 1972540953
- **Authorized official:** MRS. GWENDOLYN WASHINGTON JONES (PRACTICE MANAGER)
- **Authorized official phone:** (901) 398-9574

## Contact information

- **Practice address:** 1264 WESLEY DR, SUITE 303, MEMPHIS, TN 38116-6400
- **Practice address phone:** (901) 398-9574
- **Practice address fax:** (901) 398-9581
- **Mailing address:** 1264 WESLEY DR, SUITE 303, MEMPHIS, TN 38116-6400
- **Mailing address phone:** (901) 398-9574
- **Mailing address fax:** (901) 398-9581

## Taxonomy

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

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 08/22/2020