CENTER FOR DIGESTIVE HEALTH LLC NPI 1538110713

NPI Information

CENTER FOR DIGESTIVE HEALTH LLC is an ambulatory surgical clinic center in Tupelo, MS. CENTER FOR DIGESTIVE HEALTH LLC NPI is 1538110713. The provider is registered as an organization entity type.

The provider's business location address is:

589 GARFIELD ST
TUPELO, MS
ZIP 38801-301
Phone: (662) 680-5565
Fax: (662) 680-5654

The provider's authorized official is Teresa Ellis .
The authorized official title is Office Manager and has the following contact phone number (662) 680-5565.

The CLIA number assigned to this NPI record is 25D0991814 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/13/2006 and was last updated on 10/10/2008.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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