OrganizationActive
Gastrointestinal Associates Endoscopy Center, LLC
NPI 1366634669 · Endoscopy Clinic/Center · Vicksburg, MS
Provider details
- NPI number
- 1366634669
- Entity type
- Organization
- Primary specialty
- Endoscopy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Gastrointestinal Associates Endoscopy Center, LLC
- Organization subpart
- Yes
- Authorized official
- Pierce Dotherow, Authorized Official(601) 355-1234
- License
- 25C0001065 (MS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1815 Mission 66
Vicksburg, MS 39180-3709
Phone: (601) 355-1234
Fax: (601) 326-3566
Approximate (ZIP-level) locationGet directions
Mailing address
2510 Lakeland Dr
Flowood, MS 39232-9513
Registry dates
- Enumerated
- 2007-08-10
- Last updated
- 2016-12-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.