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Contact Information

CAROLINA DIGESTIVE DISEASES, PA
704 WH SMITH BLVD
GREENVILLE, NC27834
 Phone: 252-758-8181
 Fax: 252-758-8182
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CAROLINA DIGESTIVE DISEASES, PA

NPI # 1447339767
LBN Legal business name CAROLINA DIGESTIVE DISEASES, PA
Authorized official JAZETT SHIVERS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2006
Last updated 08/05/2020 - About 6 years ago
Identifiers
NC Medicaid 5906998
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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