NPI: 1245272541
Provider Name: GASTROENTEROLOGY GROUP, LLC
Former Legal Business Name: GASTROENTEROLOGY GROUP, A MEDICAL CORPORATION
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization
Specialization: Gastroenterology
CLIA Number: 19D0460367
Address:
131 CHEROKEE ROSE LN
COVINGTON, LA
ZIP 70433
Phone: (985) 871-1721
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GASTROENTEROLOGY GROUP, LLC is a gastroenterology internal medicine in Covington, LA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. GASTROENTEROLOGY GROUP, LLC NPI is 1245272541. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Gastroenterology Group, A Medical Corporation.
The provider's business location address is:
131 CHEROKEE ROSE LN
COVINGTON, LA
ZIP 70433-195
Phone: (985) 871-1721
Fax: (985) 871-4049
The provider's authorized official is Hazel Brauen .
The authorized official title is Practice Manager and has the following contact phone number (985) 871-1721.
The CLIA number assigned to this NPI record is 19D0460367 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 6/12/2006 and was last updated on 11/16/2021.