FAIRHOPE GASTROENTEROLOGY, LLC is a medical specialty clinic center in Fairhope, AL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). FAIRHOPE GASTROENTEROLOGY, LLC NPI is 1578106621. The provider is registered as an organization entity type.
The provider's business location address is:
3 MEDICAL PARK
FAIRHOPE, AL
ZIP 36532-804
Phone: (251) 928-8804
The provider's authorized official is Christopher W Ives .
The authorized official title is Managing Partner/owner and has the following contact phone number (251) 928-8804.
The CLIA number assigned to this NPI record is 01D0305251 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/22/2019 and was last updated on 10/22/2019.