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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

NPI # 1417932492
LBN Legal business name GASTROENTEROLOGY CENTER OF THE MIDSOUTH PLLC
Authorized official KRISTINA MATERNA - (DIRECTOR, CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2005
Last updated 02/03/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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