Mid Carolina Gastroenterology Associates, PA
Clinic/Center, Endoscopy in Sanford, NC. Organization (NPI-2).
NPI number1255592002
StatusActive
Last updated in NPPESSep 29, 2014
Details
- NPI
- 1255592002
- Entity type
- Organization (NPI-2)
- Legal business name
- Mid Carolina Gastroenterology Associates, PA
- Organization subpart
- No
- Enumeration date
- Jun 24, 2008
- Last updated
- Sep 29, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | AS0094 | NC | Yes |
Practice location
110 Dennis DrSanford, NC 27330-6343
Phone 919-774-4511 · Fax 919-774-3196
Mailing address
110 Dennis DrSanford, NC 27330-6343
Phone 919-774-4511 · Fax 919-774-3196
Authorized official
Marion Butler Pate
President
9197744511
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Endoscopy Clinic/Center providers in Sanford, NC
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.