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MARLBORO GASTROENTEROLOGY ASSOCIATES PA NPI 1922077403


NPI Information

NPI: 1922077403
Provider Name: MARLBORO GASTROENTEROLOGY ASSOCIATES PA

Other Name: MARLBORO GI ENDOSCOPY CENTER

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

CLIA Number: 42D2046047

Address:
102 ENDO LN
HAMLET, NC
ZIP 28345
Phone: (910) 205-3035
Get Directions

MARLBORO GASTROENTEROLOGY ASSOCIATES PA is a gastroenterology internal medicine in Hamlet, NC. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MARLBORO GASTROENTEROLOGY ASSOCIATES PA NPI is 1922077403. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Marlboro Gi Endoscopy Center.

The provider's business location address is:

102 ENDO LN
HAMLET, NC
ZIP 28345-560
Phone: (910) 205-3035
Fax: (910) 205-3062

The provider's authorized official is Patricia J Riddle .
The authorized official title is Office Mgr Administrator and has the following contact phone number (843) 479-9794.

The CLIA number assigned to this NPI record is 42D2046047 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2006 and was last updated on 5/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology10779SOUTH CAROLINANo
2207RG0100XInternal MedicineGastroenterology27767NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10191FOTHERNORTH CAROLINABCBS GROUP
2CF8544OTHERNORTH CAROLINARR MEDICARE
3PC1896MEDICAIDSOUTH CAROLINA
4890191FMEDICAIDNORTH CAROLINA
5DE8861OTHERSOUTH CAROLINASC RR MEDICARE GROUP
62320029MEDICARE PINNORTH CAROLINA
72621MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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