Organization
EASTERN SHORE GASTROENTEROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN L COLEMAN (OWNER)
(251) 753-6462
Entity
Organization
Contact information
Practice address
188 HOSPITAL DR, 405, FAIRHOPE, AL 36532-2043
(251) 753-6462
(251) 279-4601
Mailing address
188 HOSPITAL DR, 405, FAIRHOPE, AL 36532-2043
(251) 753-6462
(251) 279-4601
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8781
AL
Other
Enumeration date
10/08/2009
Last updated
01/13/2020
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