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861 Tilghman Dr Suite 103 Dunn NC 28334-5994 | |
| (910) 892-0044 | |
| (910) 892-9055 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 861 Tilghman Dr, Dunn, North Carolina |
| Authorized Official Name and Position | Indira Reddy (PRESIDENT) |
| Authorized Official Contact | 9108920044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
861 Tilghman Dr Suite 103 Dunn NC 28334-5994 Ph: (910) 892-0044 | 861 Tilghman Dr Suite 103 Dunn NC 28334-5994 Ph: (910) 892-0044 |
| NPI Number | 1871507160 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871507160 | NPI | - | NPPES |
| 89137XJ | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (North Carolina) | Primary |
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