Digestive Diseases Center Of Hattiesburg, LLC
Clinic/Center, Endoscopy in Hattiesburg, MS. Organization (NPI-2).
NPI number1598879009
StatusActive
Last updated in NPPESJan 23, 2023
Details
- NPI
- 1598879009
- Entity type
- Organization (NPI-2)
- Legal business name
- Digestive Diseases Center Of Hattiesburg, LLC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2006
- Certification date
- Jan 23, 2023
- Last updated
- Jan 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | – | – | Yes |
Practice location
1000 Turtle Creek Dr Ste 4Hattiesburg, MS 39402-1173
Phone 601-268-5189 · Fax 601-268-5006
Mailing address
100 Methodist Hospital BlvdHattiesburg, MS 39402-1295
Phone 601-268-5189 · Fax 601-268-5006
Authorized official
Stephen E Buckley
Medical Director
6012685189
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