Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC
Active OrganizationNORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC is a Gastroenterology organization located in ELIZABETH CITY, North Carolina. NPI 1336422302 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · ELIZABETH CITY, NC
Registration Details
- NPI Number
- 1336422302
- Provider Type
- Organization
- NPI Issued
- Sep 26, 2011 (14.867919280815 yrs)
- Last Updated
- Oct 22, 2011
- Licenses
-
151718 (NC)9600169 (NC)
Practice Information
- Address
-
102 NORTHSIDE PARK DRELIZABETH CITY, NC, 27909Browse NC providers · Browse ZIP 27909
- Phone
- 2523354619
- Fax
- 2523355744
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.