Carolina Digestive Diseases, Pa

LBN: Carolina Digestive Diseases, Pa
Carolina Digestive Diseases, Pa is an health care organization with primary practice located at 704 Wh Smith Blvd , Greenville NC 27834. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is the primary health care specialty. Carolina Digestive Diseases, Pa can be contacted via phone (252) 758-8181, or through Shivers, Jazett via phone (252) 758-8181.

Contact Information

Primary practice address
704 Wh Smith Blvd Greenville NC 27834
Fax: (252) 758-8182
Website:
Authorized official contact:
Name: Shivers, Jazett

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Other Service Providers / Specialist 174400000X North Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X North Carolina

Profile Details

NPI number 1447339767
LBN Legal business name Carolina Digestive Diseases, Pa
DBA Doing business as
Authorized official Shivers, Jazett
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2006
Last updated Aug 5th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447339767 NPPES
North Carolina MEDICAID 5906998

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