| NPI | 1093765604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERCE D. DOTHEROW Authorized Official 601-355-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2016-12-06 |