| Organization Name: | GASTROENTEROLOGY ASSOCIATES |
| NPI Number: | 1770578270 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK BARTLEY (CHIEF ADMINISTRATIVE OFFICER) |
| Mailing Address: | 135 W Ravine Rd Suite 3a Kingsport |
| State: | TN US |
| Postal Code: | 376603847 |
| Phone Number: | 4232466777 |
| Fax Number: | 4232467766 |
| NPI Enumeration Date: | 09/12/2005 |
| NPI Last Update Date: | 05/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 207RG0100X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy 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. |