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Organization

REGIONAL DIGESTIVE SPECIALISTS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BRIDGET LOGAN (ADMINISTRATOR)
(228) 875-3033
Entity
Organization

Contact information

Practice address
1721 MEDICAL PARK DR, SUITE 101, BILOXI, MS 39532-2109
(228) 392-1686
(228) 392-1738
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
06023748
MS
Enumeration date
01/28/2010
Last updated
06/04/2013
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