DELTA GASTROENTEROLOGY P.C. is a specialist in Southaven, MS. The provider is 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. DELTA GASTROENTEROLOGY P.C. NPI is 1285789677. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
9140 HIGHWAY 51 N
SOUTHAVEN, MS
ZIP 38671-233
Phone: (662) 280-8222
Fax: (662) 280-5541
The provider's authorized official is Ulric Duncan .
The authorized official title is Gastroenterologist and has the following contact phone number (662) 280-8222.
The CLIA number assigned to this NPI record is 25D0953294 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/24/2007 and was last updated on 4/20/2008.