Delta Gastroenterology P.C. in Southaven - Specialist
Delta Gastroenterology P.C. - NPI 1285789677
Delta Gastroenterology P.C. is a Specialist in Southaven, Mississippi. Delta Gastroenterology P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Delta Gastroenterology P.C. is 1285789677. The last update date is 2008-04-20.
Delta Gastroenterology P.C.'s current location address is 9140 Highway 51 N, Southaven, Mississippi. You can contact this provider via phone number 6622808222 and fax number 6622805541. The mailing address for Delta Gastroenterology P.C. is 9140 Highway 51 N, Southaven, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Delta Gastroenterology P.C. |
|---|---|
| Address | 9140 Highway 51 N, Southaven, Mississippi |
| Phone Number | 6622808222 |
| Fax Number | 6622805541 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GASTROENTE |
|---|---|
| Authorized Official Name | Duncan Ulric |
| Credentials | M.D. |
| Telephone Number | 6622808222 |
NPI Number Detail
| NPI Number | 1285789677 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 9140 Highway 51 N |
|---|---|
| City | Southaven |
| State | Mississippi (MS) |
| Post Code | 386711233 |
| Phone Number | 6622808222 |
| Fax Number | 6622805541 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3050626 | TN | BLUECROSS BLUESHIELD | |
| 3729898 | TN | -- | |
| 3050626 | TN | TENNCARE SELECT | |
| 3000117 | TN | TLC |
Post Comment/ Review Below
What is the unique identifier code issued to Delta Gastroenterology P.C. by the Centers for Medicare & Medicaid Services?
The Delta Gastroenterology P.C. has been assigned the NPI (National Provider Identifier) 1285789677. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Delta Gastroenterology P.C. is physically located?
The Delta Gastroenterology P.C. is physically situated at the following address: 9140 Highway 51 N, Southaven, MS, 386711233.
What is the area of specialization for Delta Gastroenterology P.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Delta Gastroenterology P.C. is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date did Delta Gastroenterology P.C. receive its 1285789677 assignment from the Centers for Medicare & Medicaid Services?
The Delta Gastroenterology P.C. was assigned its 1285789677 on 2007-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Delta Gastroenterology P.C. most recently updated or revised?
The information pertaining to Delta Gastroenterology P.C., including its address, specialty, and other relevant details, was last updated or revised on 2008-04-20.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA