MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA; NPI #1255592002

Contact Information

MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA

110 DENNIS DR
SANFORD, NC 27330-6343

Phone: 919-774-4511
Fax: 919-774-3196
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA

NPI Number 1255592002

LBN Legal business name MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA

Authorized official MARION PATE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/24/2008

Last updated 09/29/2014 - About 12 years ago

Identifiers

NC	License #	AS0094
NC	Other	34C0001125	ASC IDENTIFICATION NUMBER

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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