Organization
FAIRHOPE GASTROENTEROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER W IVES MD (MANAGING PARTNER/OWNER)
(251) 928-8804
Entity
Organization
Contact information
Practice address
3 MEDICAL PARK, FAIRHOPE, AL 36532-1804
(251) 928-8804
Mailing address
3 MEDICAL PARK DRIVE, FAIRHOPE, AL 36532-1804
(251) 928-8804
(251) 990-9379
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
01/08/2024
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