MID CAROLINA GASTROENTEROLOGY ASSOCIATES PA NPI 1922061902

NPI Information

NPI: 1922061902
Provider Name: MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
110 DENNIS DR
SANFORD, NC
ZIP 27330
Phone: (919) 774-4511
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MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA is an endoscopy clinic center in Sanford, NC. MID CAROLINA GASTROENTEROLOGY ASSOCIATES, PA NPI is 1922061902. The provider is registered as an organization entity type.

The provider's business location address is:

110 DENNIS DR
SANFORD, NC
ZIP 27330-343
Phone: (919) 774-4511
Fax: (919) 774-3196

The provider's authorized official is Marion B. Pate .
The authorized official title is President and has the following contact phone number (919) 774-4511.

The enumeration date for this NPI number is 4/10/2006 and was last updated on 1/5/2011.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0800X	Clinic/Center	Endoscopy			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2381170	MEDICARE PIN	NORTH CAROLINA
2	2315179	MEDICARE PIN	NORTH CAROLINA
3	0195A	OTHER	NORTH CAROLINA	BLUECROSS
4	890195A	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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