| NPI | 1821977059 |
|---|---|
| Doing Business As | FIVE RIVERS MEDICAL CENTER GI PROFESSIONAL SERVICES |
| Doing Business As | FIVE RIVERS MEDICAL CENTER GI PRO SERVICES |
| Entity Type | Organization |
| Authorized Contact | RANDALL DEWAYNE BARYMON CEO 870-892-6200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2025-09-01 |
| Last Update Date | 2025-12-04 |