Organization
REGIONAL DIGESTIVE SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET LOGAN (ADMINISTRATOR)
(228) 875-3033
Entity
Organization
Contact information
Practice address
15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
(228) 392-5787
(228) 354-9169
Mailing address
4511 HOSPITAL ST, PASCAGOULA, MS 39581-5336
(228) 769-7791
(228) 769-7747
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015380
—
MS
Enumeration date
06/21/2006
Last updated
06/04/2013
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