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Premier Gastroenterology, P. C.
Specialist in Southaven, Mississippi
NPI 1104835461

Premier Gastroenterology, P. C. is a Specialist based in Memphis, MS. Premier Gastroenterology, P. C. practices in Southaven, MS. The NPI Number for Premier Gastroenterology, P. C. is 1104835461 and holds a License No. (Mississippi).

The current practice location address for Premier Gastroenterology, P. C. is 7900 Airways Blvd, Southaven, MS and can be reached out via phone at 662-349-6113 and via fax at 662-349-6188.

Location: 7900 Airways Blvd, Southaven, MS, 38174-0895
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104835461
Provider Name
Premier Gastroenterology, P. C.
Credential
Provider Entity Type
Organization
Address
7900 Airways Blvd, Southaven, MS, 38174-0895
Phone Number
662-349-6113
Fax Number
662-349-6188
Provider Enumeration Date
08/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09015473 05 MS
3150548 01 TN BLUE CROSS
631263936E 01 MS BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
7900 Airways Blvd
City
Southaven
State
Mississippi
Zip
38671-4113
Phone Number
662-349-6113
Fax Number
662-349-6188
person
Provider Business Mailing Address Details
Address
7900 Airways Blvd
City
Southaven
State
Mississippi
Zip
38671-4113
Phone Number
662-349-6113
Fax Number
662-349-6188
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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