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Carolina Colon & Rectal Specialists PA

Colon & Rectal Surgery in Matthews, NC. Organization (NPI-2).

NPI number1447861968
StatusActive
Last updated in NPPESAug 10, 2020

Details

NPI
1447861968
Entity type
Organization (NPI-2)
Legal business name
Carolina Colon & Rectal Specialists PA
Organization subpart
No
Enumeration date
Aug 10, 2020
Certification date
Aug 10, 2020
Last updated
Aug 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208C00000X Colon & Rectal Surgery––Yes

Practice location

3049 Senna Dr
Matthews, NC 28105-6727

Phone 980-339-5155 · Fax 980-216-8522

Mailing address

3049 Senna Dr
Matthews, NC 28105-6727

Phone 980-339-5155 · Fax 980-216-8522

Authorized official

Brian Jerby
Surgeon
9803395155

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