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Contact Information

ALBEMARLE GASTROENTEROLOGY ASSOCIATES
405 HASTINGS LN
ELIZABETH CITY, NC27909-3327
 Phone: 252-335-5588
 Fax: 252-335-9498
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Endoscopy

261QE0800X
Indicates primary specialty

NPI Profile & details for ALBEMARLE GASTROENTEROLOGY ASSOCIATES · (Female)

NPI Number 1073663910
Status Active
Credentials
Entity Individual
Enumeration date 01/11/2007
Last updated 06/01/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC License # 35892
  • NC License # 35982
  • NC Other 0131Y BLUE CROSS GROUP #
  • NC Other 2319928 MCARE PROVIDER NUMBER
  • NC Other 35892 NC LICENSE #
  • NC Other 100004991 RR MEDICARE PTAN
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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