Organization
GASTROINTESTINAL ASSOCIATES, P.A.
Active
Parent organization
GASTROINTESTINAL ASSOCIATES, P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTROINTESTINAL ASSOCIATES, P.A.
Authorized official
PIERCE D DOTHEROW M.D. (AUTHORIZED OFFICIAL)
(601) 355-1234
Entity
Organization
Contact information
Practice address
106 HIGHLAND WAY STE 101, MADISON, MS 39110-6930
(601) 355-1234
(601) 326-3566
Mailing address
2510 LAKELAND DR, FLOWOOD, MS 39232-9513
(601) 355-1234
(601) 326-3566
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09807805
—
MS
Enumeration date
08/10/2007
Last updated
12/06/2016
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