Delta Gastroenterology P.C.

LBN: Delta Gastroenterology P.C.
Delta Gastroenterology P.C. is an health care organization with primary practice located at 9140 Highway 51 N , Southaven MS 38671-1233. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Delta Gastroenterology P.C. can be contacted via phone (662) 280-8222, or through Duncan, Ulric via phone (662) 280-8222.

Contact Information

Primary practice address
9140 Highway 51 N Southaven MS 38671-1233
Fax: (662) 280-5541
Website:
Authorized official contact:
Name: Duncan, Ulric Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1285789677
LBN Legal business name Delta Gastroenterology P.C.
DBA Doing business as
Authorized official Duncan, Ulric Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 20th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285789677 NPPES
Tennessee Other 3050626 BLUECROSS BLUESHIELD
Tennessee MEDICAID 3729898 BLUECROSS BLUESHIELD
Tennessee Other 3050626 BLUECROSS BLUESHIELD
Tennessee Other 3000117 BLUECROSS BLUESHIELD

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