WILMINGTON GASTROENTEROLOGY ENDOSCOPY CENTER INC NPI 1295948339

NPI Information

WILMINGTON GASTROENTEROLOGY ENDOSCOPY CENTER, INC is an ambulatory surgical clinic center in Wilmington, NC. WILMINGTON GASTROENTEROLOGY ENDOSCOPY CENTER, INC NPI is 1295948339. The provider is registered as an organization entity type.

The provider's business location address is:

5115 OLEANDER DRIVE
WILMINGTON, NC
ZIP 28403-018
Phone: (910) 362-1011
Fax: (910) 362-1012

The provider's authorized official is Steven Lee Peterson .
The authorized official title is Practice Administrator and has the following contact phone number (910) 362-1011.

The CLIA number assigned to this NPI record is 34D0981311 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 1/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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