| Carolina Pediatric Gastroenterology - Huntersville | |
|
9625 Northcross Center Ct Ste 102g Huntersville NC 28078-7348 | |
| (704) 403-2660 | |
| Not Available |
| Full Name | Carolina Pediatric Gastroenterology - Huntersville |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 9625 Northcross Center Ct, Huntersville, North Carolina |
| Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
| Authorized Official Contact | 7043558675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Pediatric Gastroenterology - Huntersville Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Carolina Pediatric Gastroenterology - Huntersville 9625 Northcross Center Ct Ste 102g Huntersville NC 28078-7348 Ph: (704) 403-2660 |
| NPI Number | 1376970418 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376970418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 2080P0206X | Pediatrics - Pediatric Gastroenterology | (* (Not Available)) | Secondary |
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