Organization
GASTROENTEROLOGY CENTER OF THE SOUTH, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CRAIG PELLEGRIN M.D. (PRESIDENT)
(985) 851-5206
Entity
Organization
Contact information
Practice address
8120 MAIN ST, SUITE 200, HOUMA, LA 70360-3403
(985) 851-5206
(985) 851-5224
Mailing address
8120 MAIN ST, SUITE 200, HOUMA, LA 70360-3403
(985) 851-5206
(985) 851-5224
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
18280
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1941352
—
LA
Enumeration date
07/18/2006
Last updated
09/21/2010
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