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NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC NPI 1336422302


NPI Information

NPI: 1336422302
Provider Name: NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC
Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
102 NORTHSIDE PARK DR
ELIZABETH CITY, NC
ZIP 27909
Phone: (252) 335-4619
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NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC is a gastroenterology internal medicine in Elizabeth City, 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. NORTHSIDE PARK GASTROENTEROLOGY & ENDOSCOPY CENTER PLLC NPI is 1336422302. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

102 NORTHSIDE PARK DR
ELIZABETH CITY, NC
ZIP 27909
Phone: (252) 335-4619
Fax: (252) 335-5744

The provider's authorized official is Michael Sue .
The authorized official title is Physician/owner and has the following contact phone number (252) 335-4619.

The enumeration date for this NPI number is 9/26/2011 and was last updated on 10/22/2011.


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
1174400000XSpecialist151718NORTH CAROLINANo
2207RG0100XInternal MedicineGastroenterology9600169NORTH CAROLINAYes

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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