| NPI | 1902374085 |
|---|---|
| Doing Business As | ST. DOMINIC GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | DANIELLE STUART Credentialing Specialist 601-200-4880 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2022-12-22 |