| NPI | 1417932492 |
|---|---|
| Doing Business As | GASTROENTEROLOGY ASSOCIATES OF NORTH MISSISSIPPI |
| Doing Business As | DIGESTIVE HEALTH SPECIALISTS |
| Doing Business As | MIDSTATE GASTROENTEROLOGY |
| Doing Business As | ASSOCIATES IN GASTROENTEROLOGY |
| Doing Business As | SKYLINE GASTROENTEROLOGY OF WEST TENNESSEE |
| Doing Business As | GASTRO ONE |
| Entity Type | Organization |
| Authorized Contact | AIMEE CATHLEEN JUDY Director, Credentialing 901-737-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2024-08-08 |