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Organization

BETTER LIVING ENDOSCOPY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YOSHINOBU NAMIHIRA M.D. (PRESIDENT)
(601) 638-9800
Entity
Organization

Contact information

Practice address
3000 HALLS FERRY RD, VICKSBURG, MS 39180-4802
(601) 638-9800
(601) 638-9808
Mailing address
3000 HALLS FERRY RD, VICKSBURG, MS 39180-4802
(601) 638-9800
(601) 638-9808

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00770129
MS
05
1685445
LA
Enumeration date
10/11/2006
Last updated
11/08/2007
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