GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC NPI 1861935132

NPI Information

GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC is a non pharmacy dispensing site in Memphis, TN. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) GASTROENTEROLOGY CENTER OF THE MIDSOUTH PC NPI is 1861935132. The provider is registered as an organization entity type.

The provider's business location address is:

1325 EASTMORELAND AVE
SUITE 435
MEMPHIS, TN
ZIP 38104-519
Phone: (901) 747-3630
Fax: (855) 744-6439

The provider's authorized official is Sheila Williams .
The authorized official title is Ancillary Services Manager and has the following contact phone number (901) 747-3630.

The enumeration date for this NPI number is 11/18/2016 and was last updated on 11/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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