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Contact Information

GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC
8000 WOLF RIVER BLVD STE 200
GERMANTOWN, TN38138-1755
 Phone: 901-747-3630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC · (Female)

NPI # 1417932492
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2005
Last updated 02/03/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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