PREMIER 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. PREMIER GASTROENTEROLOGY, P. C. NPI is 1104835461. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
7900 AIRWAYS BLVD
BLDG A STE 3A
SOUTHAVEN, MS
ZIP 38671-113
Phone: (662) 349-6113
Fax: (662) 349-6188
The provider's authorized official is Tariq A. Khan .
The authorized official title is President and has the following contact phone number (662) 349-6113.
The enumeration date for this NPI number is 8/5/2006 and was last updated on 5/7/2008.