| NPI | 1902098288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERCE D DOTHEROW Authorized Official 601-355-1234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2016-12-06 |