Organization · NPI-2
Cabarrus Gastroenterology Associates, PLLC
Clinic/Center, Endoscopy · Concord, NC
NPI number1861059172
StatusActive
Last updated in NPPESJul 15, 2019
Details
- NPI
- 1861059172
- Entity type
- Organization (NPI-2)
- Legal business name
- Cabarrus Gastroenterology Associates, PLLC
- Organization subpart
- No
- Enumeration date
- May 22, 2019
- Last updated
- Jul 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | – | – | Yes |
Other names
- Northeast Digestive Poplar Tent (Doing Business As)
Practice location
9965 Poplar Tent RdConcord, NC 28027-9304
Phone 704-783-1840
Mailing address
1070 Vinehaven Dr NeConcord, NC 28025-2438
Phone 704-783-1863
Authorized official
Chelsea Nazal
Practice Administrator
7047831863
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