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1104835461
PREMIER GASTROENTEROLOGY, P. C.
SOUTHAVEN, MS
NPI
1104835461
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Entity Type
Organization
Authorized Contact
TARIQ A. KHAN
President
662-349-6113
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-08-05
Last Update Date
2008-05-07
Business Address
PREMIER GASTROENTEROLOGY, P. C.
7900 AIRWAYS BLVD BLDG A STE 3A
SOUTHAVEN, MS 38671-4113
Phone number: 662-349-6113
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Mailing Address
PREMIER GASTROENTEROLOGY, P. C.
PO BOX 40895
MEMPHIS, TN 38174-0895
Phone number: 662-349-6113
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