Organization
GASTROINTESTINAL ASSOCIATES, P.A.
Active
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
Update your record
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