Organization
IMC-GULF COAST GASTROENTEROLOGY LLC
Active
Organization
IMC-GULF COAST GASTROENTEROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP L COWART (VP FINANCE)
(251) 435-1361
Entity
Organization
Contact information
Practice address
188 HOSPITAL DR, SUITE 405, FAIRHOPE, AL 36532-2018
(251) 990-0360
(251) 990-0366
Mailing address
188 HOSPITAL DR STE 405, FAIRHOPE, AL 36532-2018
(251) 990-0360
(251) 990-0366
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
07/24/2026
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