Organization
GASTROENTEROLOGY CENTER OF THE SOUTH, APMC
Active
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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