Gastroenterology & Hepatology Consultants, Pa | |
10540 Ligon Mill Rd Ste 109 Wake Forest NC 27587-6090 | |
(919) 554-6253 | |
(919) 554-3777 |
Full Name | Gastroenterology & Hepatology Consultants, Pa |
---|---|
Speciality | Internal Medicine |
Location | 10540 Ligon Mill Rd Ste 109, Wake Forest, North Carolina |
Authorized Official Name and Position | Sue Denton (BILLING DEPT) |
Authorized Official Contact | 9194962745 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Gastroenterology & Hepatology Consultants, Pa 10540 Ligon Mill Rd Ste 109 Wake Forest NC 27587-6090 Ph: (919) 554-6253 | Gastroenterology & Hepatology Consultants, Pa 10540 Ligon Mill Rd Ste 109 Wake Forest NC 27587-6090 Ph: (919) 554-6253 |
NPI Number | 1801095641 |
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Provider Enumeration Date | 07/12/2007 |
Last Update Date | 08/17/2022 |
Medicare PECOS PAC ID | 7416044508 |
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Medicare Enrollment ID | O20071106000822 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801095641 | NPI | - | NPPES |
2280357 | Other | NC | MEDICARE GROUP |
019TW | Other | BCBS OF NC | |
5908654 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 200000347 (North Carolina) | Primary |
Provider Name | Ghassan Al-sabbagh |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487617858 PECOS PAC ID: 0244327328 Enrollment ID: I20071106000805 |
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